Individual provider Active NPI

Romaria Velez Denizard, PSY.D.

  • Clinical Psychologist
  • Fajardo, PR
National Provider Identifier
1629419114
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5739 Issued in PR
Practice address
11 Calle Jorge Bird Leon W # Local103
Fajardo, PR 00738-5220
Phone
(787) 951-8366
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 5739 PR Primary

Addresses

Primary practice location

11 Calle Jorge Bird Leon W # Local103
Fajardo, PR 00738-5220

Mailing address

PO Box 22
Fajardo, PR 00738-0022
Phone (787) 951-8366

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
I20250417001285 PR Practitioner - Clinical Psychologist 5991220436 Practice locations: Fajardo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1629419114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380022",
            "telephone_number": "787-951-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE JORGE BIRD LEON W # LOCAL103",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385220",
            "telephone_number": "787-951-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ DENIZARD",
        "first_name": "ROMARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.