Provider Demographics
NPI:1427432921
Name:VELEZ TORRES, JESSELYN DENISSE (RN)
Entity type:Individual
Prefix:MRS
First Name:JESSELYN
Middle Name:DENISSE
Last Name:VELEZ TORRES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 5238
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9702
Mailing Address - Country:US
Mailing Address - Phone:787-219-4373
Mailing Address - Fax:
Practice Address - Street 1:CARR. 107 KM. 2.2 AVE. PEDRO ALBIZU CAMPOS
Practice Address - Street 2:EDIFICIO PLAZA DEL MAR
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605
Practice Address - Country:US
Practice Address - Phone:787-641-9133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR74515163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse