Provider Demographics
NPI:1548481583
Name:VELAZQUEZ, NANCY (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 EDUARDO CONDE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3927
Mailing Address - Country:US
Mailing Address - Phone:787-757-0482
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL PSQUIATRIA-DR RAMON FERNANDEZ MARINA
Practice Address - Street 2:BARRIO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928-1414
Practice Address - Country:US
Practice Address - Phone:787-766-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical