Healthcare Provider Details

I. General information

NPI: 1902011166
Provider Name (Legal Business Name): GERMAN VELEZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO MONACILLOS, CENTRO MEDICO DE PR HOSPITAL SAN JUAN
00926 PR
00926
US

IV. Provider business mailing address

334 BLVD. DE LOS ARBOLES LOS ARBOLES DE MONTEHIDRA
SAN JUAN PR
00626-7114
US

V. Phone/Fax

Practice location:
  • Phone: 787-250-8449
  • Fax:
Mailing address:
  • Phone: 787-287-1078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3505
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: