Individual provider Active NPI

Hernan J. Velez-Juan

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bayamon, PR
National Provider Identifier
1033224043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
888 Issued in PR
Practice address
1845 Carr. #2
Bayamon Medical Plaza Suite 801
Bayamon, PR 00959-7206
Phone
(787) 786-0025
Fax
(787) 786-0060
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 888 PR Primary

Addresses

Primary practice location

1845 Carr. #2
Bayamon Medical Plaza Suite 801
Bayamon, PR 00959-7206

Mailing address

1845 Carr. #2
Bayamon Medical Plaza Suite 801
Bayamon, PR 00959-7206
Phone (787) 786-0025

Other identifiers 1

IdentifierTypeStateIssuer
888OtherPRSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
888PRMDSports Medicine (Family Medicine) Physician

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": "1183852800000",
    "number": "1033224043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CARR. #2",
            "address_2": "BAYAMON MEDICAL PLAZA SUITE 801",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-786-0025",
            "fax_number": "787-786-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR. #2",
            "address_2": "BAYAMON MEDICAL PLAZA SUITE 801",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-786-0025",
            "fax_number": "787-786-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ-JUAN",
        "first_name": "HERNAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "888",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.