Individual provider Active NPI

Vilmarie Velez Diaz

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1174543995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15658 Issued in PR
Practice address
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 251-2993
Fax
(787) 778-2904
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

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 15658 PR Primary

Addresses

Primary practice location

B7 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

Plaza I Ma4
Monteclaro
Bayamon, PR 00961
Phone (787) 995-2175

Other identifiers 1

IdentifierTypeStateIssuer
15658OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060201000016 PR Practitioner - General Practice 4587678362 Reassigns benefits to 2 organizations
I20200326002068 FL Practitioner - General PracticePractitioner - Hospice/Palliative Care 4587678362 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15658PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince Sep 1, 2014 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Sep 1, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2013 Accepting new patients
Center for Comprehensive Palliative Care L L C CurrentSince Mar 11, 2020 Accepting new patients
Hospice of Marion County Inc CurrentSince Mar 11, 2020 Accepting new patients
CSM Servicios de Cuidado Inc. Past Accepting new patients

Locations

3231 SW 34th Ave
Ocala, FL 34474
Phone (352) 873-7400

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174543995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA I MA4",
            "address_2": "MONTECLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-995-2175",
            "fax_number": "787-995-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-251-2993",
            "fax_number": "787-778-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ DIAZ",
        "first_name": "VILMARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15658",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.