Healthcare Provider Details

I. General information

NPI: 1497712392
Provider Name (Legal Business Name): SONIA E. VELAZQUEZ-NAVARRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 DE DIEGO AVE STE 501
SAN JUAN PR
00909-1740
US

IV. Provider business mailing address

359 DE DIEGO AVE SUITE 501
SAN JUAN PR
00909-1738
US

V. Phone/Fax

Practice location:
  • Phone: 787-722-0445
  • Fax: 787-723-4415
Mailing address:
  • Phone: 787-722-0445
  • Fax: 787-723-4415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number10456
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: