Maria Melisa Velazquez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1475 Issued in PR

Practice address

Monte Atenas Office Park Suite 215
Ave. Las Cumbres KM4.0
San Juan, PR 00926

Phone

(787) 363-0215

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Melisa Velazquez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1689204794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BOULEVARD",
            "address_2": "SUITE 112, MSC 436",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-363-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTE ATENAS OFFICE PARK SUITE 215",
            "address_2": "AVE. LAS CUMBRES KM4.0",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-363-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "MARIA",
        "middle_name": "MELISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "VELAZQUEZ",
            "middle_name": "MELISA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Glenda M. Velazquez, D.C.
• Javier A Velazquez
• Karina Velazquez
• Liannette M. Velazquez, MS
• Magdalena Velazquez, M.D.
• Maria S Velazquez, RN
• Mercedes Velazquez, MD
• Nancy Velazquez, SOCIAL WORKER
• Nieves Velazquez
• Patrica 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 Jan 17, 2020; 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.