Individual provider Active NPI

Willyson Velazquez Velazquez

  • General Practice Physician
  • Las Piedras, PR
National Provider Identifier
1225703556
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22440 Issued in PR
Practice address
Calle Vicente de Leon Num 15 Bo Collores
Las Piedras, PR 00771-3318
Phone
(787) 705-1080
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 22440 PR Primary

Addresses

Primary practice location

Calle Vicente de Leon Num 15 Bo Collores
Las Piedras, PR 00771-3318

Mailing address

HC 2 Box 7165
Las Piedras, PR 00771-9784
Phone (787) 705-1080

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
I20211005002420 PR Practitioner - General Practice 9931507910 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera 172 Urbanizacion Turabo
Expreso Hacia Cayey Salida 21
Caguas, PR 00726-0660
Phone (787) 653-0550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince Sep 1, 2021 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Sep 1, 2021 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1225703556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7165",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719784",
            "telephone_number": "787-705-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE VICENTE DE LEON NUM 15 BO COLLORES",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713318",
            "telephone_number": "787-705-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ VELAZQUEZ",
        "first_name": "WILLYSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.