Individual provider Active NPI

Jerimer Jesus Rodriguez Velez, MD

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1710118815
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17697 Issued in PR
Practice address
Barrio Almacigo Bajo KM 0 HTM 1
Yauco, PR 00698
Phone
(787) 506-0994
NPI assigned
Aug 6, 2009
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17697 PR Primary

Addresses

Primary practice location

Barrio Almacigo Bajo KM 0 HTM 1
Yauco, PR 00698

Mailing address

PO Box 876
Yauco, PR 00698-0876
Phone (787) 506-0994

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
I20100506000277 PR Practitioner - General Practice 7911035571 Reassigns benefits to 1 organization
Practice locations: Guanica, PR; Sabana Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

62 Calle 25 de Julio Numero
Sabana Grande, PR 00637
Phone (787) 804-0518

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17697PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico J Rodriguez, LLC CurrentSince Jul 1, 2019 Accepting new patients
JRV Med Group LLC General Practice CurrentSince Mar 18, 2018 Accepting new patients
Jesmer PSC General Practice PastSince Apr 9, 2020 Accepting new patients

Locations

64 Calle San Miguel
Guanica, PR 00653
Phone (787) 517-4132

62 Calle 25 de Julio
Sabana Grande, PR 00637
Phone (787) 506-0994

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1710118815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980876",
            "telephone_number": "787-506-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO ALMACIGO BAJO KM 0 HTM 1",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-506-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VELEZ",
        "first_name": "JERIMER",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.