Individual provider Active NPI

Julio A Ramos de Velasco, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1295785715
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13751 Issued in PR
Practice address
Hopital Pavia
1462 Calle Profesor Augusto Rodriguez
San Juan, PR 00910-1137
Phone
(787) 641-1616
Fax
(787) 761-0613
NPI assigned
May 12, 2006
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 13751 PR Primary

Addresses

Primary practice location

Hopital Pavia
1462 Calle Profesor Augusto Rodriguez
San Juan, PR 00910-1137

Mailing address

Urb El Mirador
M2 Calle 10
San Juan, PR 00926
Phone (787) 608-9795

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
I20041230000158 PR Practitioner - General Practice 2668430141 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13751PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1295785715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL MIRADOR",
            "address_2": "M2 CALLE 10",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-608-9795",
            "fax_number": "787-761-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOPITAL PAVIA",
            "address_2": "1462 CALLE PROFESOR AUGUSTO RODRIGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101137",
            "telephone_number": "787-641-1616",
            "fax_number": "787-761-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS DE VELASCO",
        "first_name": "JULIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.