Most Relevant Information
Provider Data
| NPI Number: | 1003636820 |
| Provider Name: | TRACY MARIE VELEZ SERRANO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2024 |
| Last Updated: | 10/16/2024 |
Provider Practice Location
997 CALLE SAN ROBERTO
SAN JUAN
PR
009262759
Practice Location Phone/Fax
| Phone: | 7877736501 |
| Fax: |
Provider Mailing Location
1694 CALLE HERMOSILLO
URB VENUS GARDENS NORTE
SAN JUAN
PR
00926
Provider Mailing Phone/Fax
| Phone: | 7873092445 |
| Fax: |