Individual
IDIA LIZ VELAZQUEZ LOZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
AVE. FONT MARTELLO 123, EAST, HUMACAO, PR 00791-0000
(787) 852-3417
(787) 850-7861
Mailing address
PO BOX 1197, LAS PIEDRAS, PR 00771-1197
(787) 852-3417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13901
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100524
CRUZ AZUL DE PR
PR
01
—
22381
TRIPLE S
PR
01
—
3548
PREFERRED MEDICARE CHOICE
PR
01
—
400273
MEDICARE Y MUCHO MAS
PR
01
—
7250313
HUMANA HEALTH PLAN
PR
01
—
P851
FIRST MEDICAL
PR
Enumeration date
06/26/2006
Last updated
07/21/2022
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