Wilson Velez Guzman, MD

Key facts

NPI

1053907212

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Physician 208D00000X

License

22133 (PR)

Practice address

I20 Calle Marginal N
Ponce, PR 00730-1469

Phone

(939) 238-8252

NPI assigned

Dec 11, 2020

Sex

Male

Sole proprietor

No

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.

• Multicare Center, Inc General Practice Physician · Coamo, PR · NPI 1851098537
  Medicare reassignment NPD GENERAL PRACTICE · PR
• Saint Lukes Memorial Hospital Inc General Acute Care Hospital · Ponce, PR · NPI 1841295557
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilson.velezguzman@3479.securemail.prognocis.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2020.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1053907212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I20 CALLE MARGINAL N",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301469",
            "telephone_number": "939-238-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I20 CALLE MARGINAL N",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301469",
            "telephone_number": "939-238-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GUZMAN",
        "first_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

• Hector Antonio Velez Cortes, MD
• Roberto Enrique Velez Diaz, PHARMD
• Zaret Nohelis Velez Estremera, PHARMD
• Anthony Junior Velez Galarza
• Iris Vanesa Velez Garcia, M.D.
• Jackeline Velez Irizarry, PSY.D.
• Maritza Velez Loyola
• Meredith Marie Velez Mercado, PHARM.D., BCPS
• Karla Velez Mojica, MPH
• Fernando Velez Montanez, MD

All providers in Ponce, PR · General Practice Physician in Puerto Rico