Provider Demographics
NPI:1497353015
Name:VELEZ RAMOS, ELBA IRIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELBA
Middle Name:IRIS
Last Name:VELEZ RAMOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ESTANCIAS DE VALLE VERDE 9 CALLE RIACHUELO
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-9778
Mailing Address - Country:US
Mailing Address - Phone:939-281-0060
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DE VALLE VERDE 9 CALLE RIACHUELO
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-9778
Practice Address - Country:US
Practice Address - Phone:939-281-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6718103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical