MEDICARE: MARIA GABRIELA VELAZQUEZ LAMELA MD

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	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	21101	PR

General Provider Information

NPI Number	:	1578907614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA GABRIELA VELAZQUEZ LAMELA MD

Provider Business Mailing Address
First Line	:	PLAZA BAIROA
Second Line	:	1 AVE FOMENTO SUITE 1
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-641-3030
Fax Number	:	787-641-3031

Provider Business Practice Location Address
First Line	:	PLAZA BAIROA
Second Line	:	PR #1 AVE SAKURA
City	:	CAGUAS
State	:	PR
Zip	:	00725-0092
Country	:	US
Telephone Number	:	787-641-3030
Fax Number	:	787-641-3031

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

Provider Enumeration Date	:	04/19/2013
Last Update Date	:	11/11/2024

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