Provider Demographics
NPI:1275124638
Name:FRES-VELEZ, YOLIANNE DELIS
Entity Type:Individual
Prefix:
First Name:YOLIANNE
Middle Name:DELIS
Last Name:FRES-VELEZ
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:HQ13 CALLE AURELIO DUENO # 7MA
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3704
Mailing Address - Country:US
Mailing Address - Phone:787-381-2123
Mailing Address - Fax:
Practice Address - Street 1:HQ13 CALLE AURELIO DUENO # 7MA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3704
Practice Address - Country:US
Practice Address - Phone:787-381-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical