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General NPI Number Information
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NPI Number | 1487710463
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Entity Type | Individual
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Provider Name | JUAN MIGUEL GONZALEZ VELEZ MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 550 16TH ST FL 7 BOX 0132
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2549
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Country | US
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Telephone | 415-514-9399
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Fax | 415-476-1811
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Provider Business Mailing Address
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Address Line | 351 KING ST UNIT 535
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-1627
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Country | US
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Telephone | 267-207-1923
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MT180622
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4301095334
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | A 121943
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License Number State | CA
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