Provider Demographics
NPI:1770925695
Name:VELEZ, NILSA (MSW)
Entity type:Individual
Prefix:MRS
First Name:NILSA
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 11575
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-9506
Mailing Address - Country:US
Mailing Address - Phone:939-272-2384
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 11575
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-9506
Practice Address - Country:US
Practice Address - Phone:939-272-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health