Provider Demographics
NPI:1043494214
Name:VELEZ ARTEAGA, JENARO ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JENARO
Middle Name:ALBERTO
Last Name:VELEZ ARTEAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270183
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-2983
Mailing Address - Country:US
Mailing Address - Phone:787-390-3636
Mailing Address - Fax:
Practice Address - Street 1:CALLE TEODORO MEDINA E-17
Practice Address - Street 2:URB CELINA
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735-0000
Practice Address - Country:US
Practice Address - Phone:787-390-3636
Practice Address - Fax:787-390-3636
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16965208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice