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NPI Code Detail

MEDICARE: DR. WILLIAM VELAZQUEZ D.M.D.

MEDICARE:  DR. WILLIAM  VELAZQUEZ  D.M.D.
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
11223G0001XGeneral Practice Dentistry1384PR

General Provider Information

NPI Number : 1306842927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM VELAZQUEZ D.M.D.
Provider Business Mailing Address
First Line : PO BOX 70158
Second Line :
City : SAN JUAN
State : PR
Zip : 00936-8158
Country : US
Telephone Number : 787-761-6905
Fax Number : 787-760-0637
Provider Business Practice Location Address
First Line : MARGINAL 181 #B6
Second Line : TOWNPARK
City : SAN JUAN
State : PR
Zip : 00924
Country : US
Telephone Number : 787-761-6905
Fax Number : 787-760-0637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM VELAZQUEZ D.M.D.” Practice Location

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