Doctor Name: | DR. BRAULIO CESAR VELAZQUEZ |
NPI Number: | 1689986895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 15757 |
Business Practice Address: | Humacao Medical Plaza Ave Font Martelo 53 Suite 203 Humacao, PR - 00791 |
Business Phone Number: | 7872851270 |
Business Fax Number: | 7872851970 |
Mailing Address: | Cond Mansiones Los Caobos, Apt 17 B Ave San Patricio J6 GUAYNABO |
State: | PR |
Postal Code: | 00968 |
Phone Number: | 7874052098 |
Fax Number: | 7872851970 |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |