Organization Active NPI

Varela and Velez Medical Clinic LLC

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1326540980
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16779 Issued in PR
Legal business name
VARELA AND VELEZ MEDICAL CLINIC LLC
Practice address
1801 Ave Ponce de Leon Suite 401
Santurce Medical Mall
San Juan, PR 00909-1917
Phone
(787) 728-1193
Fax
(787) 726-4244
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Dr. Veronica Velez Medina, MDNPI 1972713345
Title
President
Phone
(787) 597-9197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 16779 PR Primary

Addresses

Primary practice location

1801 Ave Ponce de Leon Suite 401
Santurce Medical Mall
San Juan, PR 00909-1917

Mailing address

48 Ave Munoz Rivera Apt 2106
San Juan, PR 00918-1648
Phone (787) 597-9197

Other names 1

  • Varela And Velez Medical Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

1801 Ave Ponce de Leon
Ste 309
San Juan, PR 00909
Phone (787) 248-5046

1801 Ave Ponce de Leon
Ste 401
San Juan, PR 00909
Phone (413) 378-0226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1326540980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AVE MUNOZ RIVERA APT 2106",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181648",
            "telephone_number": "787-597-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON SUITE 401",
            "address_2": "SANTURCE MEDICAL MALL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091917",
            "telephone_number": "787-728-1193",
            "fax_number": "787-726-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARELA AND VELEZ MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "VELEZ MEDINA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-597-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varela And Velez Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.