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General NPI Number Information
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NPI Number | 1932310935
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Entity Type | Individual
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Provider Name | PEDRO JUAN VELEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | #432 SAN CLAUDIO AVENUE URB SAGRADO CORAZON
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City | SAN JUAN
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State | PR
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Zip | 00926-4222
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Country | US
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Telephone | 787-761-3082
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Fax | 787-761-3082
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Provider Business Mailing Address
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Address Line | #183 ADOQUINES ST URB. LOS FAROLES
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City | BAYAMON
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State | PR
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Zip | 00956-0000
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Country | US
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Telephone | 787-462-5728
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Fax | 787-761-3082
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14684
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License Number State | PR
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