Active NPI
Maritza Vazquez - Velazquez, MA
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1437461407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1168
- Practice address
- 1007 Ave Munoz Rivera Edificio Darlington
Oficina 902
San Juan, PR 00927 - Phone
- (787) 316-2013
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 1168 | PR | Primary |
Addresses
Primary practice location
1007 Ave Munoz Rivera Edificio Darlington
Oficina 902
San Juan, PR 00927
Mailing address
500 Calle Valcarcel Apt 4K
San Juan, PR 00923-3340
Phone (787) 316-2013
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1168 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1437461407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CALLE VALCARCEL APT 4K",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233340",
"telephone_number": "787-316-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 AVE MUNOZ RIVERA EDIFICIO DARLINGTON",
"address_2": "OFICINA 902",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-316-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ - VELAZQUEZ",
"first_name": "MARITZA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.