Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 16965 | PR |
NPI | 1043494214 |
---|---|
Provider Name | Dr. Jenaro Alberto Velez Arteaga |
First Address | San Juan, PR 00928-2983 |
Second Address | Ceiba, PR 00735-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 18/06/2012 |