Individual
GISELLE MARIE VELAZQUEZ LOPERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 2 BOX 23915, SAN SEBASTIAN, PR 00685-9295
(939) 257-0714
Mailing address
HC 2 BOX 23915, SAN SEBASTIAN, PR 00685-9295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002206-P.A.
PR
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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