Active NPI
Self Employed
- Registered Nurse
- San Juan, PR
National Provider Identifier
1639208085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22359
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Center
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.
-
- General Acute Care Hospital
- Humacao, PR
- NPI 1568655033
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.