Healthcare Provider Details

I. General information

NPI: 1710397351
Provider Name (Legal Business Name): NATALIA VELEZ-RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 MONACILLO ST.
SAN JUAN PR
00922-2116
US

IV. Provider business mailing address

PO BOX 2116
SAN JUAN PR
00922-2116
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-0101
  • Fax:
Mailing address:
  • Phone: 787-754-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number21894
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number21894
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: