Individual provider Active NPI

Jorge Alfredo Velazquez Ramon, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1114006079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0450 Issued in PR
Practice address
28 Calle Palmer
Bayamon, PR 00961-6334
Phone
(787) 798-8888
Fax
(787) 779-2707
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0450 PR Primary

Addresses

Primary practice location

28 Calle Palmer
Bayamon, PR 00961-6334

Mailing address

PO Box 51516
Toa Baja, PR 00950-1516
Phone (787) 798-8888

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

State licenses

LicenseStateTypeSpecialty
0450PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bayamn Dental Clinic Corporation General Practice Past Accepting new patients
Sonrisas Dental Care General Practice Past Accepting new patients
Dr Jorge a Velazquez Y Asociados General Practice Past Accepting new patients

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114006079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51516",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501516",
            "telephone_number": "787-798-8888",
            "fax_number": "787-779-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE PALMER",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616334",
            "telephone_number": "787-798-8888",
            "fax_number": "787-779-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ RAMON",
        "first_name": "JORGE",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "0450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.