Victoria Perez Velez, MED TECHNOLOGY

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

1006 Issued in PR

Practice address

Carr 474 KM 29 Galateo Bajo
Isablea, PR 00662

Phone

(787) 830-0050

Fax

(787) 835-0050

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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.

• Victoria Perez Velez

  • Clinical Medical Laboratory
  • Isabela, PR
  • NPI 1912188673
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

• Lab Clinico Isabela Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124175658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RUTA 475",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-0050",
            "fax_number": "787-830-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 474 KM 29 GALATEO BAJO",
            "city": "ISABLEA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-0050",
            "fax_number": "787-835-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VELEZ",
        "first_name": "VICTORIA",
        "credential": "MED TECHNOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "PR",
            "license": "1006",
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "30202",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAB",
            "last_name": "ISABELA",
            "middle_name": "CLINICO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• 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.