MEDICARE: MAGDA VELEZ DRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	8953	PR

General Provider Information

NPI Number	:	1518825926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDA VELEZ DRA

Provider Business Mailing Address
First Line	:	PO BOX 141141
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00614-1141
Country	:	US
Telephone Number	:	939-245-5315
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 10 R651 KM 2.4
Second Line	:	SEC EL JUNCO, BO JUNCOS
City	:	ARECIBO
State	:	PR
Zip	:	00612-0000
Country	:	US
Telephone Number	:	939-245-5315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/27/2026

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