Individual
DR. LUZMARIE EDIVIA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
A18 AVE DEGETAU, CAGUAS, PR 00725-5836
(939) 745-5500
(561) 944-8003
Mailing address
A18 AVE DEGETAU, CAGUAS, PR 00725-5836
(939) 745-5500
(561) 944-8003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY11927
FL
103TC0700X
Clinical Psychologist
Primary
7764
PR
390200000X
Student in an Organized Health Care Education/Training Program
PPY336
FL
Other
Enumeration date
09/27/2022
Last updated
03/22/2024
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