NPIMap

Organization Active NPI

Emergenciologos Para Puerto Rico,CSP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bayamon, PR
National Provider Identifier
1346466836
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
EMERGENCIOLOGOS PARA PUERTO RICO,CSP
Practice address
Urb Santa Rosa 20St.
30 BLQ 30
Bayamon, PR 00959
Phone
(787) 786-6493
Fax
(787) 946-9377
NPI assigned
Apr 17, 2007
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. William Velasco, MD
Title
MD
Phone
(787) 786-6493

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU

Addresses

Primary practice location

Urb Santa Rosa 20St.
30 BLQ 30
Bayamon, PR 00959

Mailing address

PMB 338 35 Juan Carlos de Borbon St.
Ste 67
Guaynabo, PR 00969-5375
Phone (787) 786-6493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000350 PR Part B Supplier - Clinic/Group Practice 0143493452 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1346466836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 338 35 JUAN CARLOS DE BORBON ST.",
            "address_2": "STE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-786-6493",
            "fax_number": "787-946-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA ROSA 20ST.",
            "address_2": "30 BLQ 30",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-786-6493",
            "fax_number": "787-946-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCIOLOGOS PARA PUERTO RICO,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-786-6493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.