Provider Demographics
NPI:1154874121
Name:VELEZ, LUIS FELIPE
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FELIPE
Last Name:VELEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MANATI MEDICAL CENTER
Mailing Address - Street 2:PO BOX 1142
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1142
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3710
Practice Address - Street 1:CARR #2 KM 86.6 INT MARGINAL NORTE
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-4190
Practice Address - Fax:787-898-3619
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21177208D00000X, 207Q00000X
PR14091I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program