# RUBEN A. VELAZQUEZ ROUSSET, C.S.P.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013918168
- **Authorized official:** DR. RUBEN ANTONIO VELAZQUEZ ROUSSET M.D., PH.D. (OWNER)
- **Authorized official phone:** (787) 832-4773

## Contact information

- **Practice address:** 351 AVE HOSTOS, MEDICAL EMPORIUM SUITE 201, MAYAGUEZ, PR 00680-1502
- **Practice address phone:** (787) 832-4773
- **Practice address fax:** (787) 986-6666
- **Mailing address:** 351 AVE HOSTOS, MEDICAL EMPORIUM SUITE 201, MAYAGUEZ, PR 00680-1502
- **Mailing address phone:** (787) 832-4773
- **Mailing address fax:** (787) 986-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 15369 | PR | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 02/27/2013