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1396970901 NPI number — MARIELA LEON-VELAZQUEZ PH.D.

NPI Number: 1396970901
Health Care Provider/Practitioner: MARIELA LEON-VELAZQUEZ PH.D.

Information about “1396970901” NPI (MARIELA LEON-VELAZQUEZ PH.D.) exists in 1396970901 in HTML format HTML  |  1396970901 in plain Text format TXT  |  1396970901 in PDF (Portable Document Format) PDF  |  1396970901 in an XML format XML  formats.

NPI Number : 1396970901 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396970901",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEON-VELAZQUEZ",
    "FirstName": "MARIELA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SERVICIOS PSICOLOGICOS",
    "OtherFirstName": "DBA/PSYCHE,",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "8133 CALLE MARTIN CORCHADO",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PONCE",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00717-1123",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-515-9770",
    "MailingAddressFaxNumber": "787-259-9040",
    "FirstLinePracticeLocationAddress": "8133 CALLE MARTIN CORCHADO",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PONCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00717-1123",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-515-9770",
    "PracticeLocationAddressFaxNumber": "787-259-9040",
    "EnumerationDate": "05/27/2009",
    "LastUpdateDate": "03/07/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "3250",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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