Healthcare Provider Details

I. General information

NPI: 1689470015
Provider Name (Legal Business Name): ARZENYS MARIANNE VELEZ GONZALEZ PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE AGUSTIN RAMOS CALERO INTERIOR CARR 112 KM 1.4
ISABELA PR
00662-0737
US

IV. Provider business mailing address

A19 URB MOROPO
AGUADA PR
00602-2902
US

V. Phone/Fax

Practice location:
  • Phone: 939-200-7103
  • Fax:
Mailing address:
  • Phone: 787-675-4029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8316
License Number StatePR

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: