Individual provider Active NPI

Juan Velez Rivera, M.D.

  • Family Medicine Physician
  • Coto Laurel, PR
National Provider Identifier
1740669993
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19063 Issued in PR
Practice address
220 Paseo Reina Mora
Coto Laurel, PR 00780-2403
Phone
(787) 341-7069
NPI assigned
May 20, 2015
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19063 PR Primary
General Practice Physician 208D00000X 19063 PR

Addresses

Primary practice location

220 Paseo Reina Mora
Coto Laurel, PR 00780-2403

Mailing address

PO Box 800247
Coto Laurel, PR 00780-0247

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
I20150803002645 PR Practitioner - Family PracticePractitioner - General Practice 4789998881 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Acerola Coto Laurel
Hospital San Cristobal
Ponce, PR 00780
Phone (787) 848-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19063PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Ponce Inc Past Accepting new patients
Saint Lukes Memorial Hospital Inc Past 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.

Hospital & facility affiliations 3

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1740669993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800247",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PASEO REINA MORA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802403",
            "telephone_number": "787-341-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ RIVERA",
        "first_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "19063",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.