Individual provider Active NPI

Rene E Velez Rodriguez, MD

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1487814778
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17086 Issued in PR
Practice address
2122 Calle Onfala
Alto Apolo
Guaynabo, PR 00969-4932
Phone
(787) 264-9806
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17086 PR Primary

Addresses

Primary practice location

2122 Calle Onfala
Alto Apolo
Guaynabo, PR 00969-4932

Mailing address

2122 Calle Onfala
Alto Apolo
Guaynabo, PR 00969-4932
Phone (787) 264-9806

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
I20080909000100 PR Practitioner - General Practice 4486720836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Ruis Belvis
Suite 6
Maricao, PR 00606
Phone (787) 264-9806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17086PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jev Professional Healthcare PSC General Practice CurrentSince Jul 1, 2013 Accepting new patients
Signify Health, LLC General Practice CurrentSince Sep 23, 2023 Accepting new patients
Jose Hernandez Vera-Medicina General,CSP General Practice PastSince Apr 20, 2014 Accepting new patients

Locations

151 Calle San Francisco
San Juan, PR 00901

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1487814778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 CALLE ONFALA",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694932",
            "telephone_number": "787-264-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 CALLE ONFALA",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694932",
            "telephone_number": "787-264-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ RODRIGUEZ",
        "first_name": "RENE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.