Individual provider Active NPI

Gustavo Gabriel Velez Perez

  • Clinical Social Worker
  • Lajas, PR
National Provider Identifier
1245115757
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW13950 Issued in PR
Practice address
Carr 306 KM 4.1 Int Bo Paris
Lajas, PR 00667
Phone
(959) 200-6449
NPI assigned
Aug 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW13950 PR Primary

Addresses

Primary practice location

Carr 306 KM 4.1 Int Bo Paris
Lajas, PR 00667

Mailing address

PO Box 1407
Lajas, PR 00667-1407
Phone (959) 200-6449

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000278 PR Practitioner - Clinical Social Worker 3779089537 Practice locations: Lajas, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 306 KM 4
Bo Paris
Lajas, PR 00667-9998
Phone (959) 200-6449

PO Box
Lajas, PR 00667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW13950PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1245115757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671407",
            "telephone_number": "959-200-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 306 KM 4.1 INT BO PARIS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "959-200-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ PEREZ",
        "first_name": "GUSTAVO",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "MSW13950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.