Individual
RAUL AMID RODRIGUEZ VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PONCE HEALTH SCIENCES UNIVERSITY, 388 ZONA INDUSTRAIL REPARADA 2, PONCE, PR 00716
(787) 914-4542
Mailing address
PO BOX 1459, LAS PIEDRAS, PR 00771-1459
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5051683
MEDICAL SCHOOL UMHS ST KITTS/ NEW YORK
NY
Enumeration date
04/01/2021
Last updated
05/24/2021
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