Provider Demographics
NPI:1770712929
Name:OFICINA PSICOLOGA NORMA I VELAZQUEZ, INC.
Entity type:Organization
Organization Name:OFICINA PSICOLOGA NORMA I VELAZQUEZ, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSICOLOGA
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:787-318-5193
Mailing Address - Street 1:CALLE BALDORIOTY # 42
Mailing Address - Street 2:P.O. BOX 629
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751
Mailing Address - Country:US
Mailing Address - Phone:787-824-6841
Mailing Address - Fax:787-824-6841
Practice Address - Street 1:CALLE BALDORIOTY # 42
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-824-6841
Practice Address - Fax:787-824-6841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1470103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty