Individual provider Active NPI

Idia Liz Velazquez Lozada, M.D.

  • Internal Medicine Physician
  • Humacao, PR
National Provider Identifier
1376570499
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13901 Issued in PR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400273OtherPRMEDICARE Y MUCHO MAS
22381OtherPRTRIPLE S
7250313OtherPRHUMANA HEALTH PLAN
P851OtherPRFIRST MEDICAL
3548OtherPRPREFERRED MEDICARE CHOICE
100524OtherPRCRUZ AZUL DE PR
7250313OtherPRHUMANA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000697 PR Practitioner - Internal Medicine 5496733321 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

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

LicenseStateTypeSpecialty
13901PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.