Healthcare Provider Details

I. General information

NPI: 1851188668
Provider Name (Legal Business Name): DR. CAROLINE VANESSA VELAZQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 3 BOX 8881
GUAYNABO PR
00971-9733
US

IV. Provider business mailing address

HC 03 BOX 8881
GUAYNABO PR
00971-9733
US

V. Phone/Fax

Practice location:
  • Phone: 939-226-1298
  • Fax:
Mailing address:
  • Phone: 939-226-1298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25113
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: