Individual provider Active NPI

Daritza Velez Perez, PHD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1750959201
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6937 Issued in PR
Practice address
Glenview Gardens
F2 Marginal Calle Estadia
Ponce, PR 00730-1779
Phone
(787) 546-5315
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 6937 PR Primary

Addresses

Primary practice location

Glenview Gardens
F2 Marginal Calle Estadia
Ponce, PR 00730-1779

Mailing address

Urb Rio Canas
2727 Calle Mississippi
Ponce, PR 00728
Phone (939) 332-4495

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
I20240722000968 PR Practitioner - Clinical Psychologist 4981140431 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6937PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psicoterapeutica Bienestar LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

F2 Calle Estadia
Ponce, PR 00730
Phone (787) 546-5315

2984 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 342-8162

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1750959201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB RIO CANAS",
            "address_2": "2727 CALLE MISSISSIPPI",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-332-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLENVIEW GARDENS",
            "address_2": "F2 MARGINAL CALLE ESTADIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301779",
            "telephone_number": "787-546-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ PEREZ",
        "first_name": "DARITZA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.