Glorimar Velazquez Pichardo, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7094 Issued in PR

Practice address

1605 Ave Ponce de Leon, Edificios San Martin
Suite 100
San Juan, PR 00909

Phone

(787) 633-3374

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1598401697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 AVE PONCE DE LEON",
            "address_2": "EDIFICIOS SAN MARTIN SUITE 100",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 AVE PONCE DE LEON, EDIFICIOS SAN MARTIN",
            "address_2": "SUITE 100",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-633-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ PICHARDO",
        "first_name": "GLORIMAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "6094",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Cristina Velazquez Bello
• Javier Antonio Velazquez Bosch
• Angelica I Velazquez Dolagaray
• Diana Maria Velazquez Lopez
• Veronica Velazquez Matos
• Ramona Velazquez Rodriguez
• Sonia E. Velazquez-Navarro, M.D.
• Angel David Velazquez, CPHT
• Carlos Arturo Velazquez, LICENSED PSYCHOLOGIS
• Edgardo Velazquez

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 May 11, 2022; 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.