# EMERGENCIOLOGOS PARA PUERTO RICO,CSP

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

## Provider details

- **NPI number:** 1346466836
- **Authorized official:** DR. WILLIAM VELASCO MD (MD)
- **Authorized official phone:** (787) 786-6493

## Contact information

- **Practice address:** URB SANTA ROSA 20ST., 30 BLQ 30, BAYAMON, PR 00959
- **Practice address phone:** (787) 786-6493
- **Practice address fax:** (787) 946-9377
- **Mailing address:** PMB 338 35 JUAN CARLOS DE BORBON ST., STE 67, GUAYNABO, PR 00969-5375
- **Mailing address phone:** (787) 786-6493
- **Mailing address fax:** (787) 946-9377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 01/30/2012