Individual
VIANETH V VELARDE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 780-6275
Mailing address
5077 NW 7TH ST APT 1012, MIAMI, FL 33126-3464
(619) 940-8370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30748
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
07/17/2025
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