Active NPI
Aryam Emmanuel Velazquez Davila, MA
- Psychologist
- Cidra, PR
National Provider Identifier
1487115689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6005
- Practice address
- KM 1.5 PR 787
Cidra, PR 00739 - Phone
- (787) 462-7268
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6005 | PR | Primary |
Addresses
Primary practice location
KM 1.5 PR 787
Cidra, PR 00739
Mailing address
P41 Calle Jossie Perez
Urb Valle Tolima
Caguas, PR 00727
Phone (787) 462-7268
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6005 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1487115689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P41 CALLE JOSSIE PEREZ",
"address_2": "URB VALLE TOLIMA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-462-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 1.5 PR 787",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-462-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ DAVILA",
"first_name": "ARYAM",
"middle_name": "EMMANUEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.