Doctor Name: | DR. THAYLLIN VELEZ-RUIZ |
NPI Number: | 1417178898 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13984 |
Business Practice Address: | 410 Ave Hostos Suite 7 Mayaguez, PR - 006821560 |
Business Phone Number: | 7878326771 |
Business Fax Number: | |
Mailing Address: | 164 Calle Sauce, Urb El Valle LAJAS |
State: | PR |
Postal Code: | 006672523 |
Phone Number: | 7879233748 |
Fax Number: | 7878314239 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |