Provider Demographics
NPI:1386600724
Name:VELEZ ECHEVARRIA, ROBERTO (MD)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:VELEZ ECHEVARRIA
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:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0467
Mailing Address - Country:US
Mailing Address - Phone:787-344-6637
Mailing Address - Fax:787-805-3715
Practice Address - Street 1:770 AVE HOSTOS
Practice Address - Street 2:SUITE 204
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1538
Practice Address - Country:US
Practice Address - Phone:787-834-6161
Practice Address - Fax:787-805-3715
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10391208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics