| Organization Name: | JUAN C. VELASCO CERVILLA MD CSP |
| NPI Number: | 1275537763 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN CARLOS VELASCO- CERVILLA (PRESIDENT) |
| Mailing Address: | 40 - 25 De Julio Yauco |
| State: | PR US |
| Postal Code: | 006980000 |
| Phone Number: | 7872672811 |
| Fax Number: | 7872671964 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15870 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |