Provider Demographics
NPI:1366304081
Name:VELEZ RULLAN, JAVIER JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:JOSE
Last Name:VELEZ RULLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B17 URB CABRERA
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-2469
Mailing Address - Country:US
Mailing Address - Phone:787-615-9601
Mailing Address - Fax:
Practice Address - Street 1:B17 URB CABRERA
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2469
Practice Address - Country:US
Practice Address - Phone:787-615-9601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17278I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice