Provider Demographics
NPI:1225212483
Name:VELEZ-BARRIOS, GLORIA MERCEDES
Entity Type:Individual
Prefix:PROF
First Name:GLORIA
Middle Name:MERCEDES
Last Name:VELEZ-BARRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PIEDRAS NEGRAS #9
Mailing Address - Street 2:PORTICOS DE VENUS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-397-5677
Mailing Address - Fax:787-754-8034
Practice Address - Street 1:1187 CALLE FLAMBOYAN
Practice Address - Street 2:JARDIN BOTANICO SUR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-1108
Practice Address - Country:US
Practice Address - Phone:787-764-6035
Practice Address - Fax:787-754-8034
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR180235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist