Healthcare Provider Details

I. General information

NPI: 1053108969
Provider Name (Legal Business Name): CIRUJANO DE HUESOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 AVE DEGETAU STE 302
CAGUAS PR
00725-7303
US

IV. Provider business mailing address

1404 CALLE CONVENIENCIA APT 301
SAN JUAN PR
00907-1612
US

V. Phone/Fax

Practice location:
  • Phone: 787-772-1007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENCEL GARCIA VELEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-428-5991