Individual provider Active NPI

Rafael Velez, M.D.

  • Dermatology Physician
  • San German, PR
National Provider Identifier
1659354157
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7812 Issued in PR
Practice address
San German Medical Plaza
Suite 104
San German, PR 00683-0620
Phone
(787) 892-4809
Fax
(787) 892-4809
NPI assigned
Nov 29, 2005
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7812 PR Primary

Addresses

Primary practice location

San German Medical Plaza
Suite 104
San German, PR 00683-0620

Mailing address

PO Box 620
San German, PR 00683-0620
Phone (787) 892-4809

Other identifiers 1

IdentifierTypeStateIssuer
0099362OtherPTAN

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
I20040327000012 PR Practitioner - Dermatology 0547152266 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
San German, PR 00683

PO Box
Suite 620
San German, PR 00683-0620

San German Medical Plaza
Suite 104
San German, PR 00683
Phone (787) 892-4809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions475
Removal or shaving of skin growth24
Skin biopsy74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7812PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1659354157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830620",
            "telephone_number": "787-892-4809",
            "fax_number": "787-892-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA",
            "address_2": "SUITE 104",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830620",
            "telephone_number": "787-892-4809",
            "fax_number": "787-892-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "7812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0099362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.