Luzmarie Edivia Velazquez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7764 Issued in PR

Practice address

A18 Ave Degetau
Caguas, PR 00725-5836

Phone

(939) 745-5500

Fax

(561) 944-8003

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurowellness,LLC

  • Clinical Neuropsychologist
  • Caguas, PR
  • NPI 1932852324
  Medicare reassignment NPD
• Alzheimer'S Prevention Center, LLC

  • Clinical Neuropsychologist
  • San Juan, PR
  • NPI 1346988102
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1679297345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A18 AVE DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255836",
            "telephone_number": "939-745-5500",
            "fax_number": "561-944-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A18 AVE DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255836",
            "telephone_number": "939-745-5500",
            "fax_number": "561-944-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 NW 7th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331254141",
            "country_code": "US",
            "telephone_number": "786-220-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LUZMARIE",
        "middle_name": "EDIVIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11927",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "PPY336",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunilda Velazquez-Torres, PSYCHOLOGIST
• Amelia Velazquez, DMD
• Angel Manuel Velazquez, M.D.
• Katherine Elizabeth Velazquez, MPSY
• Luis Velazquez, MSW
• Myrnaliz Velazquez, M.D.
• Pedro Daniel Velazquez, DC
• Roberto Velez Bermudez, M.D.
• Jose Emilio Velez Ferrer, PA
• Frances Marie Velez Lago, M.D.

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, 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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.