Organization · NPI-2

Ruben A. Velazquez Rousset, C.S.P.

Otolaryngology · Mayaguez, PR

NPI number1013918168
StatusActive
Last updated in NPPESFeb 27, 2013

Details

NPI
1013918168
Entity type
Organization (NPI-2)
Legal business name
Ruben A. Velazquez Rousset, C.S.P.
Organization subpart
No
Enumeration date
Aug 10, 2005
Last updated
Feb 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology15369PRYes

Practice location

351 Ave Hostos
Medical Emporium Suite 201
Mayaguez, PR 00680-1502

Phone 787-832-4773 · Fax 787-986-6666

Mailing address

351 Ave Hostos
Medical Emporium Suite 201
Mayaguez, PR 00680-1502

Phone 787-832-4773 · Fax 787-986-6666

Authorized official

Ruben Antonio Velazquez Rousset
Owner
7878324773

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