NPI 1881007359

Jose Miguel Velazquez

Practitioner Driver Coamo, PR

Practice location

Address: 223 Calle Jacaguaz 223 Jacaguaz, Coamo, PR 00769-4945
Phone: (939) 273-9818
Mailing address: 223 Calle Jacaguaz Provincias del Rio II, Coamo, PR 00769-4945

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 2214593 (PR)

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Registry record

NPI: 1881007359
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2014
Record last updated: 3 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.