Individual provider Active NPI

Ana A. Tavarez Velez, PSY. D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1437348372
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
103TC0700X2914 Issued in PR
Practice address
68 Calle Aquamarina
Urb. Villa Blanca
Caguas, PR 00725-1908
Phone
(787) 595-2225
Fax
(787) 739-3954
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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 103TC0700X2914 PR Primary

Addresses

Primary practice location

68 Calle Aquamarina
Urb. Villa Blanca
Caguas, PR 00725-1908

Mailing address

Urb. Campo Lago 50 Palmas
Cidra, PR 00739-9360
Phone (787) 595-2225

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
I20100916000256 PR Practitioner - Clinical Psychologist 6800911736 Practice locations: Caguas, PR; Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Centro Psicologico Y de Salud
Urb Villa Blanca Calle Aquamarina 68
Caguas, PR 00727-1908
Phone (787) 595-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103TC0700X2914PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1437348372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CAMPO LAGO 50 PALMAS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399360",
            "telephone_number": "787-595-2225",
            "fax_number": "787-739-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE AQUAMARINA",
            "address_2": "URB. VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251908",
            "telephone_number": "787-595-2225",
            "fax_number": "787-739-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ VELEZ",
        "first_name": "ANA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "103TC0700X2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.