Marivel Velazquez Crespo, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2706 Issued in PR

Practice address

Casa Linda Ave # 177 Street Los Filtros
Suite 101 Entrance Military Academy
Bayamon, PR 00959-8998

Phone

(787) 789-1919

NPI assigned

Jan 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1376815845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34552",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009340552",
            "telephone_number": "787-396-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASA LINDA AVE # 177 STREET LOS FILTROS",
            "address_2": "SUITE 101 ENTRANCE MILITARY ACADEMY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598998",
            "telephone_number": "787-789-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ CRESPO",
        "first_name": "MARIVEL",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "540",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna I Vega, MD
• Vilma Del Carmen Vega
• Vivian E. Vega, M.D.
• Rodrigo Vela, M.D.
• Alix Del Carmen Velarde Cruz, MD
• Braulio Velazquez Escudero
• Denise Velazquez Prados, PT
• Anairi Velazquez Pujols
• Jorge Alfredo Velazquez Ramon, DMD
• Noemi Velazquez Rivera

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.