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Individual

EMANUEL VELAZQUEZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AD

Contact information

Practice address
CALLE ORGUIDEA #60A 671, BUENAVENTURA, CAROLINA, PR 00987
(787) 364-7731
Mailing address
CALLE ORGUIDEA #60A BUZON 671, BUENAVENTURA, CAROLINA, PR 00987
(787) 364-7731

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
586
PR

Other

Enumeration date
01/04/2013
Last updated
04/29/2013
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