Healthcare Provider Details

I. General information

NPI: 1871095844
Provider Name (Legal Business Name): ARLENE VELEZ-GALAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARLENE VELEZ GONZALEZ PH.D.

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 129 KM 1.0 AVE SAN LUIS
ARECIBO PR
00612
US

IV. Provider business mailing address

PO BOX 239
LARES PR
00669-0239
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-7272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6006
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: