Organization Active NPI

Self Employed

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1639208085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22359 Issued in PR
Legal business name
SELF EMPLOYED
Practice address
442 Calle Flandes
San Juan, PR 00923-1712
Phone
(787) 518-4106
NPI assigned
Mar 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marilu Velez, BSN
Title
Nurse
Phone
(787) 518-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22359 PR Primary

Addresses

Primary practice location

442 Calle Flandes
San Juan, PR 00923-1712

Mailing address

442 Calle Flandes
San Juan, PR 00923-1712
Phone (787) 518-4106

National Provider Directory

National Provider Directory
Tax ID family
Department of Navy National Naval Medical Center107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639208085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CALLE FLANDES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009231712",
            "telephone_number": "787-518-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CALLE FLANDES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009231712",
            "telephone_number": "787-518-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPLOYED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "MARILU",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "787-518-4106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "22359",
            "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 Aug 22, 2020; 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.