Individual
DR. MARIO O VELEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE 65 DE INFANTERIA #57, ANASCO, PR 00610
(787) 826-3666
(787) 826-3666
Mailing address
PO BOX 1410, 65 DE INFANTERIA #57, ANASCO, PR 00610
(787) 826-3666
(787) 826-3666
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
10038
PR
208D00000X
General Practice Physician
Primary
10038
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82148
PTAN
PR
Enumeration date
08/24/2006
Last updated
10/03/2012
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