Active NPI
Edgardo Velazquez
- Ambulance
- San Juan, PR
National Provider Identifier
1306982731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- TC AMB 415
- Practice address
- 411 Calle Soldado Alcides Reyes
San Agustin
San Juan, PR 00923-3214 - Phone
- (787) 533-3818
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | TC AMB 415 | PR | Primary |
Addresses
Primary practice location
411 Calle Soldado Alcides Reyes
San Agustin
San Juan, PR 00923-3214
Mailing address
411 Calle Soldado Alcides Reyes
San Agustin
San Juan, PR 00923-3214
Phone (787) 533-3818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 415 | PR | MD | Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306982731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CALLE SOLDADO ALCIDES REYES",
"address_2": "SAN AGUSTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233214",
"telephone_number": "787-533-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CALLE SOLDADO ALCIDES REYES",
"address_2": "SAN AGUSTIN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233214",
"telephone_number": "787-533-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "EDGARDO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PR",
"license": "TC AMB 415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.