Active NPI
Wanda E Velez Ruiz, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1023123858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19619
- Practice address
- 550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918 - Phone
- (787) 763-5560
- Fax
- (787) 767-6600
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | WVR045752 | MI | |
| Internal Medicine Physician | 207R00000X | 19619 | PR | Primary |
Addresses
Primary practice location
550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918
Mailing address
550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918
Phone (313) 843-8400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918-2683
Phone (787) 763-5560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WVR045752 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asociacion de Maestros de P R | Current | Accepting new patients | |
| Care First Occupational & Rehab Inc. | Past | Accepting new patients |
Locations
158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130
550 Calle Cuevas Bustamante
San Juan, PR 00918
Phone (787) 209-7233
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- San Juan, PR
- NPI 1740437888
-
- Adult Medicine Physician
- Detroit, MI
- NPI 1871823641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1023123858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "313-843-8400",
"fax_number": "313-843-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-763-5560",
"fax_number": "787-767-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ RUIZ",
"first_name": "WANDA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2024-10-16",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "WVR045752",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "19619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.