Individual provider Active NPI

Myriam Velez-Morales, MA

  • Psychologist
  • Mayaguez, PR
National Provider Identifier
1174646905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1497 Issued in PR
Practice address
259 Blvd Alfonso Valdes
Health Services Department Rum
Mayaguez, PR 00680-6475
Phone
(787) 832-4040
Fax
(787) 834-1538
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1497 PR Primary

Addresses

Primary practice location

259 Blvd Alfonso Valdes
Health Services Department Rum
Mayaguez, PR 00680-6475

Mailing address

20 Calle Munoz Rivera
San Sebastian, PR 00685-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1497PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Puerto Rico at Mayaguez Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174646905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CALLE MUNOZ RIVERA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BLVD ALFONSO VALDES",
            "address_2": "HEALTH SERVICES DEPARTMENT RUM",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806475",
            "telephone_number": "787-832-4040",
            "fax_number": "787-834-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ-MORALES",
        "first_name": "MYRIAM",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.