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NPI Code Detail

MEDICARE: PALOMA MARIA VELASCO MD

MEDICARE: PALOMA MARIA VELASCO 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician23221PR

General Provider Information

NPI Number : 1629577747
Entity Type Code : Individual
Provider Name (Legal Business Name) : PALOMA MARIA VELASCO MD
Provider Business Mailing Address
First Line : COLISEUM TOWER RESIDENCES, APT. 1108
Second Line : 576 AVENIDA ARTERIAL B
City : SAN JUAN
State : PR
Zip : 00918
Country : US
Telephone Number : 787-638-2248
Fax Number :
Provider Business Practice Location Address
First Line : 1156 CALLE 62 SE
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-2724
Country : US
Telephone Number : 787-758-2525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2018
Last Update Date : 05/09/2023

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Directions to “ PALOMA MARIA VELASCO MD” Practice Location

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