Provider Demographics
NPI:1285923730
Name:VELEZ, ROSA I (PHARMACIST TECHNICIA)
Entity type:Individual
Prefix:MISS
First Name:ROSA
Middle Name:I
Last Name:VELEZ
Suffix:
Gender:F
Credentials:PHARMACIST TECHNICIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CALLE HOSTOS
Mailing Address - Street 2:BARRIO ANCONES
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4241
Mailing Address - Country:US
Mailing Address - Phone:787-546-3888
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE HOSTOS
Practice Address - Street 2:BARRIO ANCONES
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4241
Practice Address - Country:US
Practice Address - Phone:787-546-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8307183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician