Provider Demographics
NPI:1689470015
Name:VELEZ GONZALEZ, ARZENYS MARIANNE (PSYD)
Entity type:Individual
Prefix:
First Name:ARZENYS
Middle Name:MARIANNE
Last Name:VELEZ GONZALEZ
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A19 URB MOROPO
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-2902
Mailing Address - Country:US
Mailing Address - Phone:787-675-4029
Mailing Address - Fax:
Practice Address - Street 1:AVE AGUSTIN RAMOS CALERO INTERIOR
Practice Address - Street 2:CARR 112 KM 1.4
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-0737
Practice Address - Country:US
Practice Address - Phone:939-200-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8316103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical