Individual provider Active NPI

Juan J Rodriguez Velez, MD

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1285605980
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8550 Issued in PR
Practice address
Medical Pavilion Suite 4
1396 Calle San Rafae Pda 20
San Juan, PR 00909-2910
Phone
(787) 725-2910
Fax
(787) 705-5157
NPI assigned
Jan 30, 2006
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8550 PR Primary

Addresses

Primary practice location

Medical Pavilion Suite 4
1396 Calle San Rafae Pda 20
San Juan, PR 00909-2910

Mailing address

Medical Pavilion Suite 4
1396 Calle San Rafae Pda 20
San Juan, PR 00909-2910
Phone (787) 725-2910

Other practice location 1

Urb Belisa
1542 Calle Bori
San Juan, PR 00927-0000
Phone (787) 274-9494

Other identifiers 1

IdentifierTypeStateIssuer
8550OtherPRPSYCHIATRIC

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
I20150723008302 PR Practitioner - Psychiatry 6103139837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1396 Calle San Rafael
San Juan, PR 00909-2526
Phone (787) 725-2910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8550PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jul 1, 2024 Accepting new patients
Medical Psychiatric Services PSC CurrentSince Apr 26, 2015 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jul 1, 2024 Accepting new patients

Locations

1542 Calle Bori
San Juan, PR 00927
Phone (787) 274-9494

Organizations & group practices 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1285605980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL PAVILION SUITE 4",
            "address_2": "1396 CALLE SAN RAFAE PDA 20",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092910",
            "telephone_number": "787-725-2910",
            "fax_number": "787-705-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL PAVILION SUITE 4",
            "address_2": "1396 CALLE SAN RAFAE PDA 20",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092910",
            "telephone_number": "787-725-2910",
            "fax_number": "787-705-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "URB BELISA",
            "address_2": "1542 CALLE BORI",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270000",
            "country_code": "US",
            "telephone_number": "787-274-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ VELEZ",
        "first_name": "JUAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "8550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC",
            "identifier": "8550",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.