Healthcare Provider Details

I. General information

NPI: 1720070147
Provider Name (Legal Business Name): CARLOS VELEZ-TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CALLE SANTIAGO IGLESIAS
JUANA DIAZ PR
00795-2304
US

IV. Provider business mailing address

5 CALLE SANTIAGO IGLESIAS
JUANA DIAZ PR
00795-2304
US

V. Phone/Fax

Practice location:
  • Phone: 787-260-0087
  • Fax: 787-260-0087
Mailing address:
  • Phone: 787-260-0087
  • Fax: 787-260-0087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number7428
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: