Provider Demographics
NPI:1316146087
Name:DR. LUIS F. VELEZ, PSC
Entity type:Organization
Organization Name:DR. LUIS F. VELEZ, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:VELEZ-QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-8686
Mailing Address - Street 1:PO BOX 141239
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1239
Mailing Address - Country:US
Mailing Address - Phone:787-878-8686
Mailing Address - Fax:787-879-8686
Practice Address - Street 1:ROAD 129, KM 0.1
Practice Address - Street 2:SUITE 109 LOBBY, HOSP. CAYETANO COLL Y TOSTE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-8686
Practice Address - Fax:787-879-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9701207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82261Medicare PIN
PRE77125Medicare UPIN