Individual provider Active NPI

Julio Luis Cadiz Velazquez Jr., M.D

  • Adult Medicine Physician
  • Ponce, PR
National Provider Identifier
1184829913
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
12707 Issued in PR
Practice address
A25 Calle Marginal
Urb. Villas del Sagrado Corazon
Ponce, PR 00716-2567
Phone
(787) 843-5546
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 12707 PR Primary

Addresses

Primary practice location

A25 Calle Marginal
Urb. Villas del Sagrado Corazon
Ponce, PR 00716-2567

Mailing address

A25 Calle Marginal
Urb. Villas del Sagrado Corazon
Ponce, PR 00716-2567
Phone (787) 843-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12707PRMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1184829913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A25 CALLE MARGINAL",
            "address_2": "URB. VILLAS DEL SAGRADO CORAZON",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162567",
            "telephone_number": "787-843-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A25 CALLE MARGINAL",
            "address_2": "URB. VILLAS DEL SAGRADO CORAZON",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162567",
            "telephone_number": "787-843-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIZ VELAZQUEZ",
        "first_name": "JULIO LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "12707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.