Healthcare Provider Details

I. General information

NPI: 1518976562
Provider Name (Legal Business Name): DR. FRANCISCO JAVIER VELARDE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 02 BOX 7898 AIBONITO PUERTO RICO
AIBONITO PR
00705
US

IV. Provider business mailing address

HC 02 BOX 7898 AIBONITO PUERTO RICO
AIBONITO PR
00705
US

V. Phone/Fax

Practice location:
  • Phone: 787-991-1320
  • Fax: 787-991-1320
Mailing address:
  • Phone: 787-991-1320
  • Fax: 787-991-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number12131
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: