Active NPI
Kimberly Velazquez Rodriguez
- Family Medicine Physician
- San Lorenzo, PR
National Provider Identifier
1437761822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23832
- Practice address
- 186 Calle Munoz Rivera S
San Lorenzo, PR 00754-4212 - Phone
- (787) 739-8182
- Fax
- (787) 739-8190
- NPI assigned
- Aug 18, 2020
- Last updated
- Jul 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23832 | PR | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 23832 | PR |
Addresses
Primary practice location
186 Calle Munoz Rivera S
San Lorenzo, PR 00754-4212
Mailing address
Urb. Veredas, Camino de Los Cedros #743
Gurabo, PR 00778
Phone (787) 241-9536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 1330
Cidra, PR 00739
PO Box
Suite 1330
Cidra, PR 00739-1330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23832 | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Cancio Amadeo LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Carolina, PR
- NPI 1487593729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1437761822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VEREDAS, CAMINO DE LOS CEDROS #743",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-241-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 CALLE MUNOZ RIVERA S",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544212",
"telephone_number": "787-739-8182",
"fax_number": "787-739-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ RODRIGUEZ",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "23832",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PR",
"license": "23832",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.