Healthcare Provider Details

I. General information

NPI: 1215860648
Provider Name (Legal Business Name): JOEL A VELEZ EGIPCIACO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 16804
SAN JUAN PR
00908-6804
US

IV. Provider business mailing address

PO BOX 16804
SAN JUAN PR
00908-6804
US

V. Phone/Fax

Practice location:
  • Phone: 787-330-2100
  • Fax:
Mailing address:
  • Phone: 787-330-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4631
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: