Provider Demographics
NPI:1285605980
Name:RODRIGUEZ VELEZ, JUAN J (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:J
Last Name:RODRIGUEZ VELEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:MEDICAL PAVILION SUITE 4
Mailing Address - Street 2:1396 CALLE SAN RAFAE PDA 20
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2910
Mailing Address - Country:US
Mailing Address - Phone:787-725-2910
Mailing Address - Fax:787-705-5157
Practice Address - Street 1:MEDICAL PAVILION SUITE 4
Practice Address - Street 2:1396 CALLE SAN RAFAE PDA 20
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2910
Practice Address - Country:US
Practice Address - Phone:787-725-2910
Practice Address - Fax:787-705-5157
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR85502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8550OtherPSYCHIATRIC