Active NPI
Idia Liz Velazquez Lozada, M.D.
- Internal Medicine Physician
- Humacao, PR
National Provider Identifier
1376570499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13901
- Practice address
- Ave. Font Martello 123, East
Humacao, PR 00791-0000 - Phone
- (787) 852-3417
- Fax
- (787) 850-7861
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13901 | PR | Primary |
Addresses
Primary practice location
Ave. Font Martello 123, East
Humacao, PR 00791-0000
Mailing address
PO Box 1197
Las Piedras, PR 00771-1197
Phone (787) 852-3417
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400273 | Other | PR | MEDICARE Y MUCHO MAS |
| 22381 | Other | PR | TRIPLE S |
| 7250313 | Other | PR | HUMANA HEALTH PLAN |
| P851 | Other | PR | FIRST MEDICAL |
| 3548 | Other | PR | PREFERRED MEDICARE CHOICE |
| 100524 | Other | PR | CRUZ AZUL DE PR |
| 7250313 | Other | PR | HUMANA INSURANCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
123 Calle Font Martelo E
Humacao, PR 00791-3907
Phone (787) 852-3417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13901 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Medical Management | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Humacao, PR
- NPI 1154741395
-
- Hospitalist Physician
- Humacao, PR
- NPI 1154629616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376570499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1197",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007711197",
"telephone_number": "787-852-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. FONT MARTELLO 123, EAST",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007910000",
"telephone_number": "787-852-3417",
"fax_number": "787-850-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ LOZADA",
"first_name": "IDIA",
"middle_name": "LIZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "13901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "400273",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "22381",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "7250313",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "P851",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "3548",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "100524",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "7250313",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.