Provider Demographics
NPI:1992108062
Name:VELEZ-BARTOLOMEI, JOSE GABRIEL (MSPT, ATRIC)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:GABRIEL
Last Name:VELEZ-BARTOLOMEI
Suffix:
Gender:M
Credentials:MSPT, ATRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 29030
Mailing Address - Street 2:PMB-460
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8900
Mailing Address - Country:US
Mailing Address - Phone:787-436-0235
Mailing Address - Fax:
Practice Address - Street 1:A-30 CALLE 2
Practice Address - Street 2:URB. LOMAS DEL SOL
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-436-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1028-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist