Individual provider Active NPI

Bryan Alexis Velez, P.A. 01042

  • Physician Assistant
  • San Juan, PR
National Provider Identifier
1477289478
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01042 Issued in PR
Practice address
Cupey Gardens Plaza Ave Cupey Gardens #200 Suite 11-W
San Juan, PR 00926
Phone
(787) 760-4425
NPI assigned
Aug 1, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01042 PR Primary

Addresses

Primary practice location

Cupey Gardens Plaza Ave Cupey Gardens #200 Suite 11-W
San Juan, PR 00926

Mailing address

Urb El Senorial Calle Benito Feijoo
2038
San Juan, PR 00926
Phone (787) 529-3131

Other names 1

  • Dr. Bryan Alexis Velez Professional name

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01042PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BVR Ambulance Best Care Inc Current Accepting new patients
East Medical System LLC CurrentSince Nov 19, 2023 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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1477289478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL SENORIAL CALLE BENITO FEIJOO",
            "address_2": "2038",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-529-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CUPEY GARDENS PLAZA AVE CUPEY GARDENS #200 SUITE 11-W",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-760-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "BRYAN",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "P.A. 01042",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "01042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "VELEZ",
            "middle_name": "ALEXIS",
            "prefix": "DR.",
            "credential": "P.A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 5, 2022; 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.