Provider Demographics
NPI:1629419114
Name:VELEZ, ROMARIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROMARIA
Middle Name:
Last Name:VELEZ
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 1:537 CALLE ALMACIGO
Mailing Address - Street 2:URB. VISTAS DE RIO GRANDE II
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-6101
Mailing Address - Country:US
Mailing Address - Phone:939-216-0634
Mailing Address - Fax:
Practice Address - Street 1:537 CALLE ALMACIGO
Practice Address - Street 2:URB VISTAS DE RIO GRANDE II
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00918-2143
Practice Address - Country:US
Practice Address - Phone:939-216-0634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5739103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical