Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 9118 | PR |
NPI | 1003814252 |
---|---|
Provider Name | Dr. Zulma J Velazquez |
First Address | Las Piedras, PR 00771-0242 |
Second Address | Las Piedras, PR 00771-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 08/07/2007 |