Individual
FABIAN VELAZQUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 AVE LAURO PINERO, CEIBA, PR 00735-2706
(787) 885-3525
(787) 885-3525
Mailing address
288 AVE LAURO PINERO, CEIBA, PR 00735-2706
(787) 885-3525
(787) 885-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5071
PR
208D00000X
General Practice Physician
5071
PR
Other
Enumeration date
06/09/2006
Last updated
05/17/2012
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