# VELOZ IP & PCCM LLC

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

## Provider details

- **NPI number:** 1962231480
- **Authorized official:** GIOVANNI VELOZ IRIZARRY MD (PRESIDENT / OWNER)
- **Authorized official phone:** (787) 519-4933

## Contact information

- **Practice address:** 917 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 715, PONCE, PR 00716-4717
- **Practice address phone:** (787) 290-5577
- **Mailing address:** PO BOX 801254, COTO LAUREL, PR 00780-1254
- **Mailing address phone:** (787) 290-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/01/2024