Active NPI
Fabian Velazquez Lopez
- Family Medicine Physician
- Ceiba, PR
National Provider Identifier
1194766105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5071
- Practice address
- 288 Ave Lauro Pinero
Ceiba, PR 00735-2706 - Phone
- (787) 885-3525
- Fax
- (787) 885-3525
- NPI assigned
- Jun 9, 2006
- Last updated
- May 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5071 | PR | Primary |
| General Practice Physician | 208D00000X | 5071 | PR |
Addresses
Primary practice location
288 Ave Lauro Pinero
Ceiba, PR 00735-2706
Mailing address
288 Ave Lauro Pinero
Ceiba, PR 00735-2706
Phone (787) 885-3525
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120522001166 | PR | Practitioner - General Practice | 6800059288 | Practice locations: Ceiba, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Ave Lauro Pinero
Suite 288
Ceiba, PR 00735-2706
Phone (787) 885-3525
Ave Lauro Pinero Num
Suite 288
Ceiba, PR 00735-2706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1194766105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 AVE LAURO PINERO",
"city": "CEIBA",
"state": "PR",
"postal_code": "007352706",
"telephone_number": "787-885-3525",
"fax_number": "787-885-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 AVE LAURO PINERO",
"city": "CEIBA",
"state": "PR",
"postal_code": "007352706",
"telephone_number": "787-885-3525",
"fax_number": "787-885-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ LOPEZ",
"first_name": "FABIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "5071",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5071",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.