Provider Demographics
NPI:1659429751
Name:VELEZ, JOANA JUDITH (OT)
Entity Type:Individual
Prefix:
First Name:JOANA
Middle Name:JUDITH
Last Name:VELEZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0421
Mailing Address - Country:US
Mailing Address - Phone:939-644-8859
Mailing Address - Fax:787-891-6981
Practice Address - Street 1:2 ST KM 124.7
Practice Address - Street 2:CAIMITAL BAJO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:939-644-8859
Practice Address - Fax:787-891-6981
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR913225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist