Active NPI
Braulio Cesar Velazquez, M.D
- General Practice Physician
- Humacao, PR
National Provider Identifier
1689986895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15757
- Practice address
- Humacao Medical Plaza Ave Font Martelo 53
Suite 203
Humacao, PR 00791 - Phone
- (787) 285-1270
- Fax
- (787) 285-1970
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15757 | PR | Primary |
Addresses
Primary practice location
Humacao Medical Plaza Ave Font Martelo 53
Suite 203
Humacao, PR 00791
Mailing address
Cond Mansiones Los Caobos
Apt 17 B Ave San Patricio J6
Guaynabo, PR 00968
Phone (787) 405-2098
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15757 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1689986895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND MANSIONES LOS CAOBOS",
"address_2": "APT 17 B AVE SAN PATRICIO J6",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-405-2098",
"fax_number": "787-285-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUMACAO MEDICAL PLAZA AVE FONT MARTELO 53",
"address_2": "SUITE 203",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-285-1270",
"fax_number": "787-285-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "BRAULIO",
"middle_name": "CESAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.