Individual
ANGEL MANUEL VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE. MUNOZ MARIN AVE., O-24 URB. VILLA CARMEN, CAGUAS, PR 00725
(787) 744-4399
(787) 744-4399
Mailing address
PO BOX 7438, CAGUAS, PR 00726-7438
(787) 744-4399
(787) 744-4399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
Primary
8516
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8516
STATE LICENSE
PR
Enumeration date
06/15/2006
Last updated
01/16/2009
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