Provider Demographics
NPI:1629419114
Name:VELEZ DENIZARD, ROMARIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROMARIA
Middle Name:
Last Name:VELEZ DENIZARD
Suffix:
Gender:F
Credentials:PSYD
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 22
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0022
Mailing Address - Country:US
Mailing Address - Phone:787-951-8366
Mailing Address - Fax:
Practice Address - Street 1:11 CALLE JORGE BIRD LEON W # LOCAL103
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-5220
Practice Address - Country:US
Practice Address - Phone:787-951-8366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5739103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical