Active NPI
Enid Velazquez, M.S.
- Clinical Psychologist
- San Lorenzo, PR
National Provider Identifier
1679793731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1548
- Practice address
- LC Insurance Building
Carr 183 KM 10.4 Bo Quemados
San Lorenzo, PR 00754-4507 - Phone
- (787) 635-8519
- Fax
- (787) 736-7805
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1548 | PR | Primary |
Addresses
Primary practice location
LC Insurance Building
Carr 183 KM 10.4 Bo Quemados
San Lorenzo, PR 00754-4507
Mailing address
Jardines de Cerro Gordo St 4 B 5
San Lorenzo, PUERTO RICO 00754 4507
UM
Phone (787) 635-8519
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1548 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679793731",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "JARDINES DE CERRO GORDO ST 4 B 5",
"city": "SAN LORENZO",
"state": "PUERTO RICO",
"postal_code": "00754 4507",
"telephone_number": "787-635-8519",
"fax_number": "787-736-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LC INSURANCE BUILDING",
"address_2": "CARR 183 KM 10.4 BO QUEMADOS",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544507",
"telephone_number": "787-635-8519",
"fax_number": "787-736-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "ENID",
"name_prefix": "Prof.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.