Organization Active NPI

Ruben a. Velazquez Rousset, C.S.P.

  • Otolaryngology Physician
  • Mayaguez, PR
National Provider Identifier
1013918168
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
15369 Issued in PR
Legal business name
RUBEN A. VELAZQUEZ ROUSSET, C.S.P.
Practice address
351 Ave Hostos
Medical Emporium Suite 201
Mayaguez, PR 00680-1502
Phone
(787) 832-4773
Fax
(787) 986-6666
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Ruben Antonio Velazquez Rousset, M.D., PH.D.
Title
Owner
Phone
(787) 832-4773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 15369 PR Primary

Addresses

Primary practice location

351 Ave Hostos
Medical Emporium Suite 201
Mayaguez, PR 00680-1502

Mailing address

351 Ave Hostos
Medical Emporium Suite 201
Mayaguez, PR 00680-1502
Phone (787) 832-4773

National Provider Directory

National Provider Directory

Locations

351 Ave Hostos
Ste 201
Mayaguez, PR 00680
Phone (787) 361-8087

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1013918168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-832-4773",
            "fax_number": "787-986-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-832-4773",
            "fax_number": "787-986-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN A. VELAZQUEZ ROUSSET, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ ROUSSET",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-832-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "15369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.