Healthcare Provider Details

I. General information

NPI: 1093445603
Provider Name (Legal Business Name): ELENA ISABEL VELEZ-TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO APT B7
PONCE PR
00730
US

IV. Provider business mailing address

CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO APT B7
PONCE PR
00730
US

V. Phone/Fax

Practice location:
  • Phone: 787-231-9816
  • Fax:
Mailing address:
  • Phone: 787-231-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number024590
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: