Individual provider Active NPI

Miguel Angel Velasco, M.D.

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1245228584
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8941 Issued in PR
Practice address
Calle McKinley W # 114
Suite 207
Mayaguez, PR 00680-3988
Phone
(787) 831-8166
Fax
(787) 805-2122
NPI assigned
Oct 11, 2005
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8941 PR
Internal Medicine Physician 207R00000X 8941 PR Primary

Addresses

Primary practice location

Calle McKinley W # 114
Suite 207
Mayaguez, PR 00680-3988

Mailing address

PO Box 6517
Mayaguez, PR 00681-6517
Phone (787) 831-8166

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
I20071003000717 PR Practitioner - Internal Medicine 0648257485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Res Candelaria
Mayaguez, PR 00682-2712
Phone (787) 831-8166

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8941PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Miguel a. Velasco Medicina Interna-CSP Specialist CurrentSince Sep 9, 2003 Accepting new patients
Del Rio Y Montesinos CSP Internal Medicine Past Accepting new patients

Locations

114 Calle McKinley W
Ste 207
Mayaguez, PR 00680
Phone (787) 831-8166

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1245228584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6517",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816517",
            "telephone_number": "787-831-8166",
            "fax_number": "787-805-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MCKINLEY W # 114",
            "address_2": "SUITE 207",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803988",
            "telephone_number": "787-831-8166",
            "fax_number": "787-805-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8941",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.