Healthcare Provider Details

I. General information

NPI: 1669343166
Provider Name (Legal Business Name): ERICK DEAN PEREZ VELEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/24/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 CALLE ARGEL
ISABELA PR
00662-6105
US

IV. Provider business mailing address

207 CALLE ARGEL
ISABELA PR
00662-6105
US

V. Phone/Fax

Practice location:
  • Phone: 787-685-0627
  • Fax:
Mailing address:
  • Phone: 787-685-0627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2253
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: