Individual
ELISAMARIE VELEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
AVE. ROBERTO CLEMENTE ST 66 BLOCK 124 #8 VILLA CAROLINA, CAROLINA, PR 00985
(787) 750-6525
Mailing address
PO BOX 1407, LAJAS, PR 00667-1407
(787) 615-7042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1104-PA
PR
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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