Provider Demographics
NPI:1437348372
Name:TAVAREZ VELEZ, ANA A (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:A
Last Name:TAVAREZ VELEZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. CAMPO LAGO 50 PALMAS
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9360
Mailing Address - Country:US
Mailing Address - Phone:787-595-2225
Mailing Address - Fax:787-739-3954
Practice Address - Street 1:68 CALLE AQUAMARINA
Practice Address - Street 2:URB. VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1908
Practice Address - Country:US
Practice Address - Phone:787-595-2225
Practice Address - Fax:787-739-3954
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103TC0700X2914103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical