Provider Demographics
NPI:1285401554
Name:VELAZQUEZ IRIZARRY, BRITTANY (MSW)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:
Last Name:VELAZQUEZ IRIZARRY
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:CHALETS PUNTO ORO APA 112
Mailing Address - Street 2:CALLE LAFFITE 4335
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-392-3159
Mailing Address - Fax:
Practice Address - Street 1:CHALETS PUNTO ORO APA 112 CALLE LAFFITE 4335
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-392-3159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR166261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical