Individual provider Active NPI

Vylma Velazquez Almodovar, MD

  • Allergy Physician
  • Ponce, PR
National Provider Identifier
1063498863
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
10330 Issued in PR
Practice address
Edif a Porrata Pila 2431 Ave Las Americas
Ponce, PR 00717
Phone
(787) 844-2986
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 10330 PR Primary

Addresses

Primary practice location

Edif a Porrata Pila 2431 Ave Las Americas
Ponce, PR 00717

Mailing address

Porrata Pila 2431 Ave Las Americas
Ponce, PR 00717
Phone (787) 844-2986

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
I20120912000484 PR Practitioner - Allergy/Immunology 0547418808 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre Medica San Lucas
807 909 Ave Tito Castro
Ponce, PR 00716-4721

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1063498863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PORRATA PILA 2431 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF A PORRATA PILA 2431 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ ALMODOVAR",
        "first_name": "VYLMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PR",
            "license": "10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.