Individual provider Active NPI

Javier Santiago Velez, MD

  • General Practice Physician
  • Las Marias, PR
National Provider Identifier
1033892971
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16805I Issued in PR
Practice address
PR 108 KM 19.4 Bo Anones
Las Marias, PR 00670
Phone
(787) 590-8302
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 16805I PR Primary

Addresses

Primary practice location

PR 108 KM 19.4 Bo Anones
Las Marias, PR 00670

Mailing address

HC 1 Box 3556
Las Marias, PR 00670-9506
Phone (787) 590-8302

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
I20241123000190 PR Practitioner - General Practice 9133654452 Reassigns benefits to 1 organization
Practice locations: San German, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16805IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Oct 23, 2024 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1033892971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3556",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709506",
            "telephone_number": "787-590-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 108 KM 19.4 BO ANONES",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "00670",
            "telephone_number": "787-590-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VELEZ",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16805I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.