Individual provider Active NPI

Laura Cristina Roldan Velez, M.D

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1285994756
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018851 Issued in PR
Practice address
371 Ave de Diego
San Juan, PR 00909-1711
Phone
(787) 649-5371
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018851 PR Primary

Addresses

Primary practice location

371 Ave de Diego
San Juan, PR 00909-1711

Mailing address

52 Calle San Jose
Estancias de Gran Vista
Gurabo, PR 00778
Phone (787) 649-5371

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
I20200901000242 PR Practitioner - Family Practice 3678990009 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

371 De Diego Ave
San Juan, PR 00909-1711
Phone (787) 767-5100

Calle Diego
Suite 371
San Juan, PR 00924
Phone (787) 620-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018851PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Health System Inc Hospital San Francisco CurrentSince Apr 12, 2024 Accepting new patients
San Francisco Health System Inc Current Accepting new patients
Grupo Gastroenterologico del Caribe, CSP PastSince Aug 30, 2020 Accepting new patients

Locations

371 Calle de Diego
San Juan, PR 00923
Phone (787) 754-4244

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1285994756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CALLE SAN JOSE",
            "address_2": "ESTANCIAS DE GRAN VISTA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-649-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 AVE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091711",
            "telephone_number": "787-649-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN VELEZ",
        "first_name": "LAURA",
        "middle_name": "CRISTINA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "018851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.