Healthcare Provider Details

I. General information

NPI: 1356426274
Provider Name (Legal Business Name): F UMPIERRE VELA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HERMINIO MIRANDA
MOROVIS PR
00687
US

IV. Provider business mailing address

PO BOX 320
MOROVIS PR
00687
US

V. Phone/Fax

Practice location:
  • Phone: 787-862-2726
  • Fax:
Mailing address:
  • Phone: 787-862-4321
  • Fax: 787-862-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1062
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: