Healthcare Provider Details

I. General information

NPI: 1376959742
Provider Name (Legal Business Name): ABIMAEL JOSE VELEZ VELEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 AVE BALDORIOTY
CAYEY PR
00736-3761
US

IV. Provider business mailing address

7 AVE BALDORIOTY
CAYEY PR
00736-3761
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 787-313-8332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19676
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME133089
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: