Individual
JOSE A VELEZ MEDIAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 119 KM 1.2, BO CALABAZA, SAN SEBASTIAN, PR 00685-5215
(787) 280-2532
Mailing address
PO BOX 5215, SAN SEBASTIAN, PR 00685-5215
(787) 280-2532
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB 455
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275664005
MCS REFORMA
PR
01
—
50741
PMC
PR
01
—
9962
AMERICAN HEALTH MEDICARE
PR
Enumeration date
03/07/2007
Last updated
10/14/2009
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