Individual provider Active NPI

Maria Isabel Velazquez-Salicrup, MD

  • Multi-Specialty Clinic/Center
  • Cidra, PR
National Provider Identifier
1689603946
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
04029 Issued in PR
Practice address
Centro de Diagnostico Y Tratamiento ( CDT)
Calle Barcelo # 12
Cidra, PR 00739
Phone
(787) 739-2059
Fax
(787) 739-2059
NPI assigned
Jun 30, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 04029 PR Primary

Addresses

Primary practice location

Centro de Diagnostico Y Tratamiento ( CDT)
Calle Barcelo # 12
Cidra, PR 00739

Mailing address

Urb. Hillside
A 11 Calle 1
San Juan, PR 00926
Phone (787) 373-1073

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04029PRMDMulti-Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Empowerment LLC Multi-Specialty Past Accepting new patients
Grupo Medico Medicina Especializada Multi-Specialty PastSince Aug 25, 2015 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1689603946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. HILLSIDE",
            "address_2": "A 11 CALLE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-373-1073",
            "fax_number": "787-373-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO ( CDT)",
            "address_2": "CALLE BARCELO # 12",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-2059",
            "fax_number": "787-739-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ-SALICRUP",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "04029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.