Individual provider Active NPI

Lorraine Yvonne Velazquez, M.D.

  • General Practice Physician
  • Catano, PR
National Provider Identifier
1154419059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12051 Issued in PR
Practice address
RB26 Ave Punta Las Marias
Catano, PR 00962-4201
Phone
(787) 275-5643
Fax
(787) 275-5643
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

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 Physician 208D00000X 12051 PR Primary

Addresses

Primary practice location

RB26 Ave Punta Las Marias
Catano, PR 00962-4201

Mailing address

RB26 Ave Punta Las Marias
Catano, PR 00962-4201
Phone (787) 275-5643

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
I20060117000544 PR Practitioner - General Practice 0547284689 Practice locations: Catano, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2051PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154419059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RB26 AVE PUNTA LAS MARIAS",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624201",
            "telephone_number": "787-275-5643",
            "fax_number": "787-275-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RB26 AVE PUNTA LAS MARIAS",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624201",
            "telephone_number": "787-275-5643",
            "fax_number": "787-275-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LORRAINE",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

Verify at the official NPI Registry.