Individual provider Active NPI

Emilio Jose Velez Gonzalez, MD

  • General Practice Physician
  • Catano, PR
National Provider Identifier
1083268007
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21974 Issued in PR
Practice address
Ii19 Calle 25
Urb Las Vegas
Catano, PR 00962
Phone
(787) 423-1102
NPI assigned
Jul 29, 2019
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15162I PR
General Practice Physician 208D00000X 21974 PR Primary

Addresses

Primary practice location

Ii19 Calle 25
Urb Las Vegas
Catano, PR 00962

Mailing address

Ii19 Calle 25
Urb Las Vegas
Catano, PR 00962
Phone (787) 423-1102

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL emjdn Direct

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
I20210408001654 PR Practitioner - General Practice 8022426113 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15162IPRMDGeneral Practice Physician
21974PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Integral de Manati Inc CurrentSince Mar 1, 2021 Accepting new patients
Medicos Selectos del Norte Inc General Practice CurrentSince Mar 1, 2021 Accepting new patients
Union Primary Care LLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

77 Calle Felix Cordova Davila
Manati, PR 00674
Phone (787) 884-4700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1083268007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "II19 CALLE 25",
            "address_2": "URB LAS VEGAS",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-423-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "II19 CALLE 25",
            "address_2": "URB LAS VEGAS",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-423-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GONZALEZ",
        "first_name": "EMILIO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15162I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emjdn",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "urb las vegas calle 25 ii19",
            "city": "catano",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

Verify at the official NPI Registry.