MEDICARE: MR. ROBERTO A RODRIGUEZ VELEZ 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	2085R0202X	Diagnostic Radiology Physician	MEDICALLICENSE10262	PR

General Provider Information

NPI Number	:	1801883046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERTO A RODRIGUEZ VELEZ MD

Provider Business Mailing Address
First Line	:	PASEO DEL PARQUE
Second Line	:	PARQUE TIVOLI #16
City	:	SAN JUAN
State	:	PR
Zip	:	00912-6500
Country	:	US
Telephone Number	:	787-948-8942
Fax Number	:	787-760-2021

Provider Business Practice Location Address
First Line	:	PASEO DEL PARQUE
Second Line	:	PARQUE TIVOLI #16
City	:	SAN JUAN
State	:	PR
Zip	:	00912-6500
Country	:	US
Telephone Number	:	787-948-8942
Fax Number	:	787-760-2021

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	02/10/2026

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