Healthcare Provider Details

I. General information

NPI: 1063702355
Provider Name (Legal Business Name): SULEIMA M RIVERA VELEZ MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 BARRIO ARENAS
UTUADO PR
00641
US

IV. Provider business mailing address

12350 NW 137TH WAY
ALACHUA FL
32615-8753
US

V. Phone/Fax

Practice location:
  • Phone: 787-475-5515
  • Fax:
Mailing address:
  • Phone: 787-475-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDOULIO-CTAC-C3264005
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1404
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: