Individual provider Active NPI

Diana Velez, PHD

  • Clinical Psychologist
  • Santurce, PR
National Provider Identifier
1144455205
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2920 Issued in PR
Practice address
1607 Ave Ponce de Leon
Cobians Plaza Suite 109
Santurce, PR 00909-1820
Phone
(787) 644-0156
Fax
(787) 757-4078
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2920 PR Primary

Addresses

Primary practice location

1607 Ave Ponce de Leon
Cobians Plaza Suite 109
Santurce, PR 00909-1820

Mailing address

Condominio Costa Marina I Apt 9a
Ave. Galicia Final
Carolina, PR 00983
Phone (787) 644-0156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003093 PR Practitioner - Clinical Psychologist 4587972740 Practice locations: Hato Rey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1144455205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO COSTA MARINA I APT 9A",
            "address_2": "AVE. GALICIA FINAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-644-0156",
            "fax_number": "787-757-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "COBIANS PLAZA SUITE 109",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "787-644-0156",
            "fax_number": "787-757-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.