Healthcare Provider Details

I. General information

NPI: 1932691169
Provider Name (Legal Business Name): MISS MELITZA IVETTE VELEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 LOS LIRIOS BO. SALTILLO
ADJUNTAS PR
00601
US

IV. Provider business mailing address

HC 1 BOX 3335
ADJUNTAS PR
00601-9523
US

V. Phone/Fax

Practice location:
  • Phone: 787-485-2807
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: