Active NPI
Julio Luis Cadiz Velazquez Jr., M.D
- Adult Medicine Physician
- Ponce, PR
National Provider Identifier
1184829913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 12707
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12707 | PR | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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- NPI 1093942617
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.