Individual
MRS. ILEANA VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PH.
Contact information
Practice address
23 CALLE RAMON DE JESUS, LARES, PR 00669-2204
(787) 897-2464
(787) 897-3231
Mailing address
PO BOX 996, LARES, PR 00669-0996
(787) 897-5913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4851
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169354
DRIVER LICENCE
PR
Enumeration date
06/28/2007
Last updated
07/08/2007
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