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General NPI Number Information
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NPI Number | 1477418481
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Entity Type | Individual
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Provider Name | JEREMY GABRIEL VELEZ
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Gender | Male
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | CENTRO MEDICO
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City | SAN JUAN
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State | PR
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Zip | 00931
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Country | US
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Telephone | 939-213-0946
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Fax |
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Provider Business Mailing Address
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Address Line | URB PASEOS DEL RIO CALLE RIO TANAMA #216
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 939-213-0946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PR
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