Provider Demographics
NPI:1538935077
Name:GUZMAN VELEZ, KRISTIAN GABRIEL
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:GABRIEL
Last Name:GUZMAN VELEZ
Suffix:
Gender:M
Credentials:
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 197
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0197
Mailing Address - Country:US
Mailing Address - Phone:787-543-1890
Mailing Address - Fax:
Practice Address - Street 1:CARR 363 KM 2.2 INT
Practice Address - Street 2:SABANA GRANDE
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-0063
Practice Address - Country:US
Practice Address - Phone:787-543-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program