Healthcare Provider Details

I. General information

NPI: 1851300727
Provider Name (Legal Business Name): DR. JOSE MIGUEL RIVERA VELAZQUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROAD 14 KM. 3.1 BO. RINCON SECTOR LOMAS
CAYEY PR
00737-2800
US

IV. Provider business mailing address

198 CALLE VIGO CIUDAD JARDIN DE BAIROA
CAGUAS PR
00727-1358
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13372
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: