Healthcare Provider Details
I. General information
NPI: 1386141919
Provider Name (Legal Business Name): DENCEL ARMANDO GARCIA VELEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2018
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
576 CALLE CESAR GONZALEZ STE 506
SAN JUAN PR
00918-3758
US
IV. Provider business mailing address
576 CALLE CESAR GONZALEZ STE 506
SAN JUAN PR
00918-3758
US
V. Phone/Fax
- Phone: 787-772-1007
- Fax: 787-772-1009
- Phone: 787-772-1007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | D98283 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | 23726 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: