Individual
RODERICK VELEZ LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 ST. KM 2.3, URB BRIAS DEL RIO SONADOR NORTE, SAN SEBASTIAN, PR 00685-0068
(520) 834-0002
Mailing address
PO BOX 1106, SAN SEBASTIAN, PR 00685-1106
(520) 834-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022-P.A.
PR
Other
Enumeration date
01/04/2024
Last updated
01/13/2024
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