MEDICARE: DR. BELLE MARIE TORRES VELAZQUEZ 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
1	208D00000X	General Practice Physician	17077	PR

General Provider Information

NPI Number	:	1447426069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELLE MARIE TORRES VELAZQUEZ M.D.

Provider Business Mailing Address
First Line	:	D9 CALLE SEVILLA
Second Line	:	VISTAMAR MARINA ESTE
City	:	CAROLINA
State	:	PR
Zip	:	00983-1522
Country	:	US
Telephone Number	:	787-365-4740
Fax Number	:	787-769-6460

Provider Business Practice Location Address
First Line	:	X1152 AVE PONTEZUELA
Second Line	:	VISTAMAR
City	:	CAROLINA
State	:	PR
Zip	:	00983-2060
Country	:	US
Telephone Number	:	787-768-4285
Fax Number	:	787-769-6460

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

Provider Enumeration Date	:	05/03/2008
Last Update Date	:	05/03/2008

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