Individual
JACIMARY VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 AVE MUNOZ RIVERA E, CAMUY, PR 00627-2630
(787) 262-6603
Mailing address
HC 3 BOX 11996, UTUADO, PR 00641-6505
(787) 262-6603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4087
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4087
PROFESSIONAL LICENSE
PR
Enumeration date
10/06/2015
Last updated
10/06/2015
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