Individual
ILIA VIVIANA VELEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CALLE CARROUSEL, SAN GERMAN, PR 00683-4218
(939) 969-3062
Mailing address
PO BOX 44, SAN GERMAN, PR 00683-0044
(939) 969-3062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15694-I
PR
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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