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General NPI Number Information
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NPI Number | 1972713345
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Entity Type | Individual
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Provider Name | VERONICA VELEZ MEDINA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON OFICINA 401-F SANTURCE MEDICAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00909-9999
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Country | US
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Telephone | 787-597-9197
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Fax | 787-726-4244
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Provider Business Mailing Address
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Address Line | 48 AVE MUNOZ RIVERA COND AQUA BLUE APT 2106
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City | SAN JUAN
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State | PR
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Zip | 00918-1630
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Country | US
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Telephone | 787-597-9197
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Fax | 787-726-4244
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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 | 16779
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License Number State | PR
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