Provider Demographics
NPI:1710591839
Name:VELEZ BURGOS, YARITZA I (PHARMD)
Entity type:Individual
Prefix:
First Name:YARITZA
Middle Name:I
Last Name:VELEZ BURGOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 MOCKINGBIRD LN APT 102
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3615
Mailing Address - Country:US
Mailing Address - Phone:787-218-1905
Mailing Address - Fax:
Practice Address - Street 1:810 MOCKINGBIRD LN APT 102
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3615
Practice Address - Country:US
Practice Address - Phone:787-218-1905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist