Provider Demographics
NPI:1669710539
Name:VELEZ, DAMGIZEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAMGIZEL
Middle Name:
Last Name:VELEZ
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 1:270 CALLE SAN FERNANDO
Mailing Address - Street 2:EXT. EL COMANDANTE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-3614
Mailing Address - Country:US
Mailing Address - Phone:787-590-1154
Mailing Address - Fax:
Practice Address - Street 1:AVE MONSERRATE # AB-18
Practice Address - Street 2:LOCAL #4 VALLE ARRIBA HEIGHTS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5444
Practice Address - Country:US
Practice Address - Phone:787-590-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4626103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical