Individual provider Active NPI

Lizvette Velez Santana

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1417658923
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
84988 Issued in PR
Practice address
418 Calle Pedro Diaz Correa
San Juan, PR 00923-2616
Phone
(787) 920-0164
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 84988 PR Primary

Addresses

Primary practice location

418 Calle Pedro Diaz Correa
San Juan, PR 00923-2616

Mailing address

418 Calle Pedro Diaz Correa
San Juan, PR 00923-2616
Phone (787) 920-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
84988PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1417658923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CALLE PEDRO DIAZ CORREA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232616",
            "telephone_number": "787-920-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CALLE PEDRO DIAZ CORREA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232616",
            "telephone_number": "787-920-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ SANTANA",
        "first_name": "LIZVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "84988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.