Provider Demographics
NPI:1518714096
Name:VALENTIN VELEZ, CARMEN MINERVA (APRN)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:MINERVA
Last Name:VALENTIN VELEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 WHISPERING TRAILS PL
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-1841
Mailing Address - Country:US
Mailing Address - Phone:787-312-3008
Mailing Address - Fax:
Practice Address - Street 1:2316 WHISPERING TRAILS PL
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-1841
Practice Address - Country:US
Practice Address - Phone:787-312-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4347364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine