Healthcare Provider Details

I. General information

NPI: 1477458669
Provider Name (Legal Business Name): NELSYBETH MARTINEZ VELEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EMBALSE SAN JOSE CALLE CALAF 377
SAN JUAN PR
00923
US

IV. Provider business mailing address

EMBALSE SAN JOSE CALLE CALAF 377
SAN JUAN PR
00923
US

V. Phone/Fax

Practice location:
  • Phone: 787-239-1740
  • Fax:
Mailing address:
  • Phone: 787-239-1740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14726
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: