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General NPI Number Information
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NPI Number | 1063334332
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Entity Type | Organization
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Legal Business Name | DR RENAN L VELAZQUEZ ORTIZ MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 404 AVE GENERAL VALERO
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City | FAJARDO
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State | PR
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Zip | 00738-3998
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Country | US
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Telephone | 787-863-0505
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Fax |
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Provider Business Mailing Address
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Address Line | URB LA CUMBRE CALLE WASHINGTON 690
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENAN VELAZQUEZ ORTIZ
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Credential | MD
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Telephone | 787-999-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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