MEDICARE: CARLOS VELEZ-TORRES 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	208D00000X	General Practice Physician	7428	PR

General Provider Information

NPI Number	:	1720070147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS VELEZ-TORRES MD

Provider Business Mailing Address
First Line	:	5 CALLE SANTIAGO IGLESIAS
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-2304
Country	:	US
Telephone Number	:	787-260-0087
Fax Number	:	787-260-0087

Provider Business Practice Location Address
First Line	:	5 CALLE SANTIAGO IGLESIAS
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-2304
Country	:	US
Telephone Number	:	787-260-0087
Fax Number	:	787-260-0087

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/22/2025

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