Provider Demographics
NPI:1548068778
Name:VELEZ RIVERA, KARLA MARIE
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIE
Last Name:VELEZ RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROVIRA OFFICE PARK 623
Mailing Address - Street 2:AVE LA CEIBA SUITE 201
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-392-3018
Mailing Address - Fax:
Practice Address - Street 1:ROVIRA OFFICE PARK 623
Practice Address - Street 2:AVE LA CEIBA SUITE 201
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-392-3018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR167181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty