MEDICARE: DR. ZULMA J VELAZQUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	9118	PR

General Provider Information

NPI Number	:	1003814252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZULMA J VELAZQUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 242
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-0242
Country	:	US
Telephone Number	:	787-733-1337
Fax Number	:	787-733-1313

Provider Business Practice Location Address
First Line	:	33 CALLE VICENTE DE LEON
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-3318
Country	:	US
Telephone Number	:	787-733-1337
Fax Number	:	787-733-1337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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