Provider Demographics
NPI:1902154230
Name:VELEZ, ERIKA MARITZA (PSYC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARITZA
Last Name:VELEZ
Suffix:
Gender:F
Credentials:PSYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JARDINES DE BORINQUEN
Mailing Address - Street 2:ST. JAZMIN S-3
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:939-630-3602
Mailing Address - Fax:
Practice Address - Street 1:S3 CALLE JAZMIN
Practice Address - Street 2:JARDINES DE BORINQUEN
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4242
Practice Address - Country:US
Practice Address - Phone:939-630-3602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3174103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist