Individual
ALICIA HENAO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 SABANETAS IND PK, PONCE, PR 00716-4401
(787) 841-8645
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 727-8657
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23504
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/19/2016
Last updated
04/23/2024
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