Provider Demographics
NPI:1720870231
Name:LOPEZ VELAZQUEZ, ANGELIZ MARIE (MSW)
Entity type:Individual
Prefix:
First Name:ANGELIZ
Middle Name:MARIE
Last Name:LOPEZ VELAZQUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E8 CALLE 3
Mailing Address - Street 2:URB APRIL GARDENS
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-3408
Mailing Address - Country:US
Mailing Address - Phone:787-433-1847
Mailing Address - Fax:
Practice Address - Street 1:E8 CALLE 3
Practice Address - Street 2:URB APRIL GARDENS
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3408
Practice Address - Country:US
Practice Address - Phone:787-433-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical