Vanessa Velazquez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11366 Issued in PR

Practice address

Go4-B Campo Rico Avenue
Country Club
Carolina, PR 00982

Phone

(787) 750-0444

Fax

(787) 750-0195

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114075140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PLAZA SILVESTRE",
            "address_2": "ENTRERIOS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766169",
            "telephone_number": "787-283-0421",
            "fax_number": "787-750-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GO4-B CAMPO RICO AVENUE",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-750-0444",
            "fax_number": "787-750-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11366",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL NARCOTIC LICENSE",
            "identifier": "BV4042254",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  NARCOTIC LICENSE",
            "identifier": "11036-1",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna Del Pilar Velazquez, PHARMACY TECHNICIAN
• Emanuel Velazquez Sr., AD
• Jannette Velazquez, D.M.D.
• Lionel Velazquez
• Paul Velazquez, O.D.
• Wanda I Velazquez
• Yollian Marie Velazquez, DMD
• Ivonne Velez Acevedo, M.D.
• Kid Khayam Velez Melendez Sr., MD
• Elisamarie Velez Perez, PA

• Internal Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.