Individual provider Active NPI

Juan Carlos Torres Velazquez, MD

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1366482036
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14547 Issued in PR
Practice address
Torre San Cristobal
Suite #301
Coto Laurel, PR 00780
Phone
(787) 259-7219
Fax
(787) 848-9772
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 14547 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Suite #301
Coto Laurel, PR 00780

Mailing address

Brisas del Prado
2025 Guaraguao St.
Santa Isabel, PR 00757-2175
Phone (787) 617-4636

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
I20040405001114 PR Practitioner - General Practice 5597758722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14547PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Integrated Medical General Practice CurrentSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1366482036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DEL PRADO",
            "address_2": "2025 GUARAGUAO ST.",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572175",
            "telephone_number": "787-617-4636",
            "fax_number": "787-845-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE #301",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-259-7219",
            "fax_number": "787-848-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES VELAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.