Elisamarie Velez Perez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1104-PA Issued in PR

Practice address

Ave. Roberto Clemente St 66 Block 124 #8 Villa Carolina
Carolina, PR 00985

Phone

(787) 750-6525

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1336860329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671407",
            "telephone_number": "787-615-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE ST 66 BLOCK 124 #8 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-750-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ PEREZ",
        "first_name": "ELISAMARIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1104-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NeoMed",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Ave. Roberto Clemente St 66 Block 124 #8 Villa Carolina",
            "city": "Carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Velazquez, M.D.
• Wanda I Velazquez
• Yollian Marie Velazquez, DMD
• Ivonne Velez Acevedo, M.D.
• Kid Khayam Velez Melendez Sr., MD
• Julio Javier Velez Rivera
• Erika Velez Verdejo
• Jonnathan Velez-Melendez
• Daely B. Velez-Rosado, PSY.D.
• Brendaly Velez, PSIC

• Physician Assistant in Carolina, PR
• Providers in Carolina, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.