Individual provider Active NPI

Pedro L Velez Gonzalez, MD

  • Psychiatry Physician
  • Isabela, PR
National Provider Identifier
1124277314
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18359 Issued in PR
Practice address
Carr 2 KM 112 Bo Mora
Isabela, PR 00662-4800
Phone
(787) 830-8866
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18359 PR Primary

Addresses

Primary practice location

Carr 2 KM 112 Bo Mora
Isabela, PR 00662-4800

Mailing address

3073 Calle Monaco
Cabo Rojo, PR 00623-8972
Phone (787) 830-8866

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
I20180207000806 PR Practitioner - Psychiatry 7911158472 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Psiquiatricos Galateo LLC Psychiatry CurrentSince Jan 29, 2019 Accepting new patients
West Coast Psychiatry P.S.C. Psychiatry PastSince Dec 10, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1124277314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 CALLE MONACO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006238972",
            "telephone_number": "787-830-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 112 BO MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "787-830-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GONZALEZ",
        "first_name": "PEDRO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.