Individual provider Active NPI

Jonathan Velez Hernandez, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1104598267
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22549 Issued in PR
Practice address
Street 465 KM 0.8 Barrio Ceiba Baja
Aguadilla, PR 00603
Phone
(787) 393-1043
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22549 PR
General Practice Physician 208D00000X 22549 PR Primary

Addresses

Primary practice location

Street 465 KM 0.8 Barrio Ceiba Baja
Aguadilla, PR 00603

Mailing address

PO Box 3022
Aguadilla, PR 00605-3022
Phone (787) 393-1043

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
I20220414002483 PR Practitioner - General PracticePractitioner - Emergency Medicine 9335535566 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Policlinica Dra Janice Sanchez CSPGroup PAC ID 1355667304, 2 clinicians

Practice addresses (Care Compare)

703 Calle Belt
Aguadilla, PR 00603
Phone (787) 890-0310

Hospital & facility affiliations

  • Hospital Comunitario Buen Samaritano Inc Hospital, Aguadilla, PR, CCN 400079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22549PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Dra. Janice Sanchez C.S.P. CurrentSince Jul 28, 2022 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1104598267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3022",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006053022",
            "telephone_number": "787-393-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 465 KM 0.8 BARRIO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-393-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ HERNANDEZ",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "22549",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.