Provider Demographics
NPI:1205720612
Name:VELEZ ORTA, LOURDES MARGARITA
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:MARGARITA
Last Name:VELEZ ORTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO. TIERRAS NUEVAS SECT. LOS RABANOS
Mailing Address - Street 2:CARR. 604 KM. 3.8
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-373-8954
Mailing Address - Fax:
Practice Address - Street 1:BO. TIERRAS NUEVAS SECT. LOS RABANOS
Practice Address - Street 2:CARR. 604 KM. 3.8
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-373-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0073342355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant