Individual
MR. JOSE MIGUEL VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 CALLE JACAGUAZ, 223 JACAGUAZ, COAMO, PR 00769-4945
(939) 273-9818
Mailing address
223 CALLE JACAGUAZ, PROVINCIAS DEL RIO II, COAMO, PR 00769-4945
(939) 273-9818
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2214593
PR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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