Provider Demographics
NPI:1962113001
Name:VELAZQUEZ ORTIZ, ZULEIKA (PHARMD)
Entity type:Individual
Prefix:
First Name:ZULEIKA
Middle Name:
Last Name:VELAZQUEZ ORTIZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 2310
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9844
Mailing Address - Country:US
Mailing Address - Phone:787-201-8966
Mailing Address - Fax:
Practice Address - Street 1:CARR 172 KM 18.9 CERTENEJAS
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-3881
Practice Address - Fax:787-739-7666
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7091OtherPHARMACIST LICENSE