Provider Demographics
NPI:1700938271
Name:SANTANA VELEZ, RUT (RPH)
Entity type:Individual
Prefix:MISS
First Name:RUT
Middle Name:
Last Name:SANTANA VELEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAIR VIEW #707 ST. #44
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7729
Mailing Address - Country:US
Mailing Address - Phone:787-283-6749
Mailing Address - Fax:
Practice Address - Street 1:VILLA FONTANA PARK SANCHEZ OSORIO AVE.
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-752-3335
Practice Address - Fax:787-752-3660
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist