Dr. Victor A Velazquez Caussade Sr., MD
General Practice in Mayaguez, PR. Individual provider (NPI-1).
NPI number1679636633
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1679636633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victor A Velazquez Caussade Sr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2006
- Certification date
- Oct 29, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 10903 | PR | Yes |
Practice location
58 Calle Ramon ValdesMayaguez, PR 00680
Phone 787-831-1703 · Fax 787-831-1766
Mailing address
Po Box 3623 Marina StaMayaguez, PR 00681
Phone 787-831-1703 · Fax 787-831-1766
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