Provider Demographics
NPI:1689558074
Name:VELAZQUEZ, LIANNETTE M (MS)
Entity type:Individual
Prefix:
First Name:LIANNETTE
Middle Name:M
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BETANIA 8
Mailing Address - Street 2:URB. MUNOZ RIVERA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3533
Mailing Address - Country:US
Mailing Address - Phone:787-662-7932
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSIDAD ALBIZU
Practice Address - Street 2:CALLE TANCA 151
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-725-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program