Active NPI
Edwin Javier Velez, DC
- Chiropractor
- San Juan, PR
National Provider Identifier
1700136306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 507
- Practice address
- 1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630 - Phone
- (787) 200-9144
- Fax
- (787) 200-9108
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- San Juan, PR
- NPI 1306199062
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1751 Ave Francisco Paz Granela
Urb. Santiago Iglesias
San Juan, PR 00921-3630
1751 Ave Paz Granela
San Juan, PR 00921-3630
Phone (787) 200-9144
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130211000271 | PR | Practitioner - Chiropractic | 9931353448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 507 | PR | MD | Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 507 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630
Mailing address
1751 Ave Paz Granela
Urb Santiago Iglesias
San Juan, PR 00921-3630
Phone (787) 200-9144
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038455200 | Medicaid | PR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2022.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1700136306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 AVE PAZ GRANELA",
"address_2": "URB SANTIAGO IGLESIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213630",
"telephone_number": "787-200-9144",
"fax_number": "787-200-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 AVE PAZ GRANELA",
"address_2": "URB SANTIAGO IGLESIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213630",
"telephone_number": "787-200-9144",
"fax_number": "787-200-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "EDWIN",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038455200",
"state": "PR"
}
],
"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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.