Organization Active NPI

Red Crystal Holdings LLC

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1700457785
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RED CRYSTAL HOLDINGS LLC
Doing business as
Red Crystal Holdings LLC
Practice address
Plaza del Mercado Lolita Montalvo Cordero
Calle Carbonell 12. Suite 10
Cabo Rojo, PR 00623-0000
Phone
(939) 357-1789
NPI assigned
Jul 9, 2021
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Dr. Raul Antonio Velez Weber, MDNPI 1881058337
Title
Owner
Phone
(939) 357-1789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Plaza del Mercado Lolita Montalvo Cordero
Calle Carbonell 12. Suite 10
Cabo Rojo, PR 00623-0000

Mailing address

Plaza del Mercado Lolita Montalvo Cordero
Calle Carbonell 12. Suite 10
Cabo Rojo, PR 00623
Phone (939) 357-1789

Other names 1

  • Red Crystal Holdings LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425000036 PR Part B Supplier - Clinic/Group Practice 6305233206 Receives reassigned benefits from 2 practitioners
Practice locations: Cabo Rojo, PR

National Provider Directory

National Provider Directory

Locations

12 Calle Carbonell
Ste 10
Cabo Rojo, PR 00623
Phone (939) 357-1789

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1700457785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA DEL MERCADO LOLITA MONTALVO CORDERO",
            "address_2": "CALLE CARBONELL 12. SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "939-357-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL MERCADO LOLITA MONTALVO CORDERO",
            "address_2": "CALLE CARBONELL 12. SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230000",
            "telephone_number": "939-357-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CRYSTAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "VELEZ WEBER",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-357-1789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Crystal Holdings LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.