Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 7729 | PR |
NPI | 1003861113 |
---|---|
Provider Name | Dr. Juan Rene Arocho Velez |
First Address | Hatillo, PR 00659-0350 |
Second Address | Camuy, PR 00627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E68840 | (02) | PR |