Individual
DR. ISMA ENID VELEZ-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-2200
(336) 277-2210
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2200
(336) 277-2210
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016-01976
NC
208D00000X
General Practice Physician
27208
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27208
TRIBUNAL EXAMINADOR DE MEDICOS
PR
Enumeration date
09/16/2008
Last updated
10/25/2020
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