Individual provider Active NPI

Rodrigo Vela, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1265443667
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16219 Issued in PR
Practice address
Calle 2 H-29 Ext.Villa Rica
Bayamon, PR 00959-5029
Phone
(787) 236-7623
Fax
(787) 269-8181
NPI assigned
Aug 10, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 16219 PR Primary

Addresses

Primary practice location

Calle 2 H-29 Ext.Villa Rica
Bayamon, PR 00959-5029

Mailing address

Calle 2 H-29 Ext.Villa Rica
Bayamon, PR 00959-5029
Phone (787) 236-7623

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
I20051104000436 PR Practitioner - General Practice 2567480858 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle 2
29 Ext Villa Rica
Bayamon, PR 00959-5029

Calle 2 H-29 Ext Villa Rica
Bayamon, PR 00959-5029

H29 Calle
Suite 2
Bayamon, PR 00959-5029
Phone (787) 785-6611

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Dr Vela CSP Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1265443667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 2 H-29 EXT.VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595029",
            "telephone_number": "787-236-7623",
            "fax_number": "787-269-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 H-29 EXT.VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595029",
            "telephone_number": "787-236-7623",
            "fax_number": "787-269-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.