Active NPI
Angelica Maria Velez Vega, PSYD
- Clinical Psychologist
- Hatillo, PR
National Provider Identifier
1376213827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2374
- Practice address
- 1022 Calle Tulipan
Local 6 Edif Tosado Bo Pueblo
Hatillo, PR 00659-2404 - Phone
- (787) 233-7070
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2374 | PR | Primary |
Addresses
Primary practice location
1022 Calle Tulipan
Local 6 Edif Tosado Bo Pueblo
Hatillo, PR 00659-2404
Mailing address
402 Ave Los Moras
Arecibo, PR 00612-9656
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220126000202 | PR | Practitioner - Clinical Psychologist | 1254723166 | Practice locations: Hatillo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2374 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1376213827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 AVE LOS MORAS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006129656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 CALLE TULIPAN",
"address_2": "LOCAL 6 EDIF TOSADO BO PUEBLO",
"city": "HATILLO",
"state": "PR",
"postal_code": "006592404",
"telephone_number": "787-233-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ VEGA",
"first_name": "ANGELICA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.