Organization
JUAN C. VELASCO CERVILLA MD CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS VELASCO- CERVILLA M.D. (PRESIDENT)
(787) 267-2811
Entity
Organization
Contact information
Practice address
40 - 25 DE JULIO, YAUCO, PR 00698-0000
(787) 267-2811
(787) 267-1964
Mailing address
PO BOX 3004, YAUCO, PR 00698-3004
(787) 267-2811
(787) 267-1964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10541
PR
207R00000X
Internal Medicine Physician
15870
PR
Other
Enumeration date
06/13/2005
Last updated
08/30/2016
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