Healthcare Provider Details

I. General information

NPI: 1285646653
Provider Name (Legal Business Name): MARIA DEL C. VELEZ OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

COND MONTE ATENAS 1300 CALLE ATENAS, APT. 603
SAN JUAN PR
00926-7807
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax:
Mailing address:
  • Phone: 787-761-1323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number587
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: