Provider Demographics
NPI:1407181985
Name:VELEZ, RUBEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:
Last Name:VELEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 AVE ESMERALDA
Mailing Address - Street 2:PMB 300
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-225-6343
Mailing Address - Fax:787-720-5493
Practice Address - Street 1:327 AVE LOPATEGUI
Practice Address - Street 2:URB. PONCE DE LEON
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4449
Practice Address - Country:US
Practice Address - Phone:787-272-0407
Practice Address - Fax:787-720-5493
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical