Provider Demographics
NPI:1386966174
Name:VELEZ, DAVID (REGISTER NURSE)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VELEZ
Suffix:
Gender:M
Credentials:REGISTER NURSE
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:VELEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASTER SCIENCE NURSE
Mailing Address - Street 1:871 CALLE E DE IRIZARRY
Mailing Address - Street 2:URBANIZACION VILLA SULTANITA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-7030
Mailing Address - Country:US
Mailing Address - Phone:787-217-7630
Mailing Address - Fax:
Practice Address - Street 1:871 CALLE E DE IRIZARRY
Practice Address - Street 2:URBANIZACION VILLA SULTANITA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-7030
Practice Address - Country:US
Practice Address - Phone:787-217-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13051163W00000X
PR306163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine