Individual provider Active NPI

Juan A Velazquez Vega, D.C.

  • Chiropractor
  • Mayaguez, PR
National Provider Identifier
1295747004
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
243 Issued in PR
Practice address
20 Calle del Rio N
Ofic. 1a
Mayaguez, PR 00680-4881
Phone
(787) 360-8315
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 243 PR Primary

Addresses

Primary practice location

20 Calle del Rio N
Ofic. 1a
Mayaguez, PR 00680-4881

Mailing address

PO Box 1180
Boqueron, PR 00622-1180
Phone (787) 360-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000548 PR Practitioner - Chiropractic 1658445994 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1295747004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006221180",
            "telephone_number": "787-360-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE DEL RIO N",
            "address_2": "OFIC. 1A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804881",
            "telephone_number": "787-360-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ VEGA",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.