Provider Demographics
NPI:1891973442
Name:VELAZQUEZ-TORRES, BRUNILDA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:BRUNILDA
Middle Name:
Last Name:VELAZQUEZ-TORRES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:MS
Other - First Name:BRUNILDA
Other - Middle Name:
Other - Last Name:VELAZQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:PO BOX 1025
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-745-0340
Mailing Address - Fax:787-737-8437
Practice Address - Street 1:CALLE RAFAEL CORDERO ESQUINA TROCHE
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-745-0340
Practice Address - Fax:787-746-1780
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2312103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling