Individual provider Active NPI

Lepky Emmanuel Martinez Velez, MD

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1013592567
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022554 Issued in PR
Practice address
Calle Profesor Isabel C Perez
Esquina Ensache Silva,
Vega Baja, PR 00693
Phone
(787) 855-6425
Fax
(787) 855-0973
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022554 PR Primary

Addresses

Primary practice location

Calle Profesor Isabel C Perez
Esquina Ensache Silva,
Vega Baja, PR 00693

Mailing address

PO Box 300
Dorado, PR 00646-0300
Phone (210) 542-8184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229000421 PR Practitioner - General Practice 3072904101 Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022554PRMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1013592567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460300",
            "telephone_number": "210-542-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PROFESOR ISABEL C PEREZ",
            "address_2": "ESQUINA ENSACHE SILVA,",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-6425",
            "fax_number": "787-855-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ VELEZ",
        "first_name": "LEPKY",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-11-15",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.