Ivan H. Velazquez Munoz, M.D

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

9959 Issued in PR

Practice address

12 Calle Jesus T Pinero Suite 3
Isabela, PR 00662-0674

Phone

(787) 872-5860

Fax

(787) 872-5860

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

General Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1265514558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620674",
            "telephone_number": "787-872-5860",
            "fax_number": "787-872-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE JESUS T PINERO SUITE 3",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620674",
            "telephone_number": "787-872-5860",
            "fax_number": "787-872-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ MUNOZ",
        "first_name": "IVAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "9959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF PR",
            "identifier": "069631",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201461",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "5386",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "662084",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "1754",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82853",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFEREED MEDICARE CHOICE",
            "identifier": "1309",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merary Vega Santiago, PSYD
• Hector Noel Vega Vega
• Miraida Vega
• Natalia Vega
• Velazquez Emergency Services Corp
• Cesar Juarbe Velazquez, M.S.
• Arzenys Marianne Velez Gonzalez, PSYD
• Pedro L Velez Gonzalez, MD
• Xaira Mary Velez Medina, SLP
• Stephany Vyann Velez Salas

• Legal Medicine in Isabela, PR
• Providers in Isabela, PR by specialty
• Legal Medicine in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.

Verify at the official NPI Registry.