Individual provider Active NPI

Rebeca E Velazquez Alvarez, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1134327992
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17111 Issued in PR
Practice address
268 Ave Ponce de Leon
Hato Rey Center Building Suite 1000
San Juan, PR 00918
Phone
(787) 266-7261
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17111 PR Primary

Addresses

Primary practice location

268 Ave Ponce de Leon
Hato Rey Center Building Suite 1000
San Juan, PR 00918

Mailing address

E31 Aramona
Villas de Caney
Trujillo Alto, PR 00976
Phone (787) 310-5572

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
I20080929000275 PR Practitioner - Obstetrics/Gynecology 0941377295 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17111PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum OB/GYN LLC Specialist Past Accepting new patients
Centro de Cuidado Gineco Obstetrico Gynecology Past Accepting new patients
Presbyterian Community Hospital, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1134327992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E31 ARAMONA",
            "address_2": "VILLAS DE CANEY",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-310-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 AVE PONCE DE LEON",
            "address_2": "HATO REY CENTER BUILDING SUITE 1000",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-266-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ ALVAREZ",
        "first_name": "REBECA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "17111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.