Provider Demographics
NPI:1922787647
Name:VELEZ, GEISEL ALEJANDRA
Entity Type:Individual
Prefix:
First Name:GEISEL
Middle Name:ALEJANDRA
Last Name:VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:GEISEL
Other - Middle Name:ALEJANDRA
Other - Last Name:VELEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38A CARR 696
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5843
Mailing Address - Country:US
Mailing Address - Phone:787-224-3808
Mailing Address - Fax:
Practice Address - Street 1:38A CARR 696
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5843
Practice Address - Country:US
Practice Address - Phone:787-224-3808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR71782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant