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Individual

DR. VICTOR A VELAZQUEZ CAUSSADE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
58 CALLE RAMON VALDES, MAYAGUEZ, PR 00680
(787) 831-1703
(787) 831-1766
Mailing address
PO BOX 3623 MARINA STA, MAYAGUEZ, PR 00681
(787) 831-1703
(787) 831-1766

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10903
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01784
AMERICAN HEALTH MEDICARE
PR
01
060292
LA CRUZ AZUL
PR
01
100258 W
MEDICARE Y MUCHO MAS
PR
01
2125
PREFERRED MEDICARE CHOICE
PR
01
83675
TRIPLE S INC
PR
01
8453
INTERNATIONAL MED CARD
PR
Enumeration date
12/19/2006
Last updated
11/12/2024
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