Individual
ENILDA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PB MT, MLS (ASCP)
Contact information
Practice address
ST 8860 PLAZA MATIENZO, BO CUEVAS, TRUJILLO ALTO, PR 00976
(787) 233-1313
Mailing address
2C25 AVE C, CAROLINA, PR 00987-7481
(787) 220-1558
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255788386
—
PR
Enumeration date
02/22/2019
Last updated
02/22/2019
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