Healthcare Provider Details

I. General information

NPI: 1346053691
Provider Name (Legal Business Name): ANGELICA M VELEZ BOBE RDN, LND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A3 AVE MIGUEL MELENDEZ MUNOZ
CAYEY PR
00736
US

IV. Provider business mailing address

122 CALLE EL YAGRUMO URB VALLE HUCARES
JUANA DIAZ PR
00795-2814
US

V. Phone/Fax

Practice location:
  • Phone: 787-903-8020
  • Fax:
Mailing address:
  • Phone: 787-484-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number002244
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number002244
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: