Provider Demographics
NPI:1043856065
Name:MELENDEZ VELEZ, MARANGELI
Entity type:Individual
Prefix:
First Name:MARANGELI
Middle Name:
Last Name:MELENDEZ VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB.VILLA CAROLINA 3RA EXT CALLE 94 BLQ 98
Mailing Address - Street 2:CASA 6 ALTOS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-310-0317
Mailing Address - Fax:
Practice Address - Street 1:URB.VILLA CAROLINA 3RA EXT CALLE 94 BLQ.98
Practice Address - Street 2:CASA 6 ALTOS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-0098
Practice Address - Country:US
Practice Address - Phone:787-310-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR149471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty