Basic Information
| Provider Information | |||||||||
| NPI: | 1295779973 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VELEZ MALDONADO | ||||||||
| FirstName: | CYNTHIA | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | COND. RIVER PARK | ||||||||
| Address2: | D-304 | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7879952700 | ||||||||
| FaxNumber: | 7879952706 | ||||||||
| Practice Location | |||||||||
| Address1: | HOSTOS AVE. | ||||||||
| Address2: | #435 | ||||||||
| City: | HATO REY | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7879952700 | ||||||||
| FaxNumber: | 7879952706 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 11/29/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 2761 | PR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.