MEDICARE: ELENA ISABEL VELEZ-TORRES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	24590	PR
2	208D00000X	General Practice Physician	24590	PR

General Provider Information

NPI Number	:	1093445603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA ISABEL VELEZ-TORRES

Provider Business Mailing Address
First Line	:	CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO
Second Line	:	APT B7
City	:	PONCE
State	:	PR
Zip	:	00730
Country	:	US
Telephone Number	:	787-231-9816
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE JOBOS, CONDOMINIO PASEOS JARDINES DEL JOBO
Second Line	:	APT B7
City	:	PONCE
State	:	PR
Zip	:	00730
Country	:	US
Telephone Number	:	787-231-9816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	07/02/2026

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