Organization
JEV PROFESSIONAL HEALTHCARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE E VELEZ RODRIGUEZ M.D. (MD GENERAL PRACTICE)
(787) 264-9806
Entity
Organization
Contact information
Practice address
2122 CALLE ONFALA, ALTO APOLO, GUAYNABO, PR 00969-4932
(787) 264-9806
Mailing address
2122 CALLE ONFALA, ALTO APOLO, GUAYNABO, PR 00969-4932
(787) 264-9806
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17086
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28622
PTAN MEDICARE
PR
Enumeration date
05/30/2013
Last updated
12/04/2023
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