Individual provider Active NPI

Ruben Velez, PH.D.

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1407181985
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000837 Issued in PR
Practice address
327 Ave Lopategui
Urb. Ponce de Leon
Guaynabo, PR 00969-4449
Phone
(787) 272-0407
Fax
(787) 720-5493
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 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 000837 PR Primary

Addresses

Primary practice location

327 Ave Lopategui
Urb. Ponce de Leon
Guaynabo, PR 00969-4449

Mailing address

405 Ave Esmeralda
PMB 300
Guaynabo, PR 00969-4466
Phone (787) 225-6343

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000837PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1407181985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVE ESMERALDA",
            "address_2": "PMB 300",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694466",
            "telephone_number": "787-225-6343",
            "fax_number": "787-720-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 AVE LOPATEGUI",
            "address_2": "URB. PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694449",
            "telephone_number": "787-272-0407",
            "fax_number": "787-720-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.