Individual
AGUSTIN GABRIEL VELAZQUEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
A LA ORDEN SHOPPING CENTER 2ND FL 600, TOA BAJA, PR 00949
(787) 710-2532
Mailing address
4633 AVE. ISLA VERDE APT 303-A COND. CASTILLO DEL MAR, CAROLINA, PR 00979
(939) 639-0967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31036
PR
207RN0300X
Nephrology Physician
Primary
22037
PR
207RN0300X
Nephrology Physician
A161591
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2014
Last updated
04/15/2022
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