Individual provider Active NPI

Raul Amid Rodriguez Velazquez

  • Student in an Organized Health Care Education/Training Program
  • Ponce, PR
National Provider Identifier
1093393837
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Ponce Health Sciences University
388 Zona Industrail Reparada 2
Ponce, PR 00716
Phone
(787) 914-4542
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Ponce Health Sciences University
388 Zona Industrail Reparada 2
Ponce, PR 00716

Mailing address

PO Box 1459
Las Piedras, PR 00771-1459

Other identifiers 1

IdentifierTypeStateIssuer
5051683OtherNYMEDICAL SCHOOL UMHS ST KITTS/ NEW YORK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL press@psm.edu Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1093393837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE HEALTH SCIENCES UNIVERSITY",
            "address_2": "388 ZONA INDUSTRAIL REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-914-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VELAZQUEZ",
        "first_name": "RAUL",
        "middle_name": "AMID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SCHOOL UMHS ST KITTS/ NEW YORK",
            "identifier": "5051683",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "press@psm.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "PONCE HEALTH SCIENCES UNIVERSITY",
            "address_2": "388 ZONA INDUSTRAIL REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.