Individual provider Active NPI

Heriberto Velez Soto, MD

  • General Practice Physician
  • Aquadilla, PR
National Provider Identifier
1750322962
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9773 Issued in PR
Practice address
Pedro a Campo Ave #152 Street 107
Aquadilla, PR 00603
Phone
(787) 891-2444
Fax
(787) 891-2444
NPI assigned
Jun 9, 2006
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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 9773 PR Primary

Addresses

Primary practice location

Pedro a Campo Ave #152 Street 107
Aquadilla, PR 00603

Mailing address

Pedro a Campo Ave. #152
Aquadilla, PR 00603
Phone (787) 891-2444

Other identifiers 1

IdentifierTypeStateIssuer
9773OtherRR

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
I20050421001050 PR Practitioner - General PracticePractitioner - Geriatric Medicine 2567400351 Practice locations: Aquadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

152 Ave Pedro Albizus Campo
Aquadilla, PR 00603
Phone (787) 891-2444

Ave Dr Pedro Albizus Campo
Suite 152
Aguadilla, PR 00603-5726

Ave Pedro Albizus Campo
Suite 152
Aquadilla, PR 00603-5726

Hospital & facility affiliations

National Provider Directory

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

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1750322962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDRO A CAMPO AVE. #152",
            "city": "AQUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-2444",
            "fax_number": "787-891-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDRO A CAMPO AVE #152 STREET 107",
            "city": "AQUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-2444",
            "fax_number": "787-891-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ SOTO",
        "first_name": "HERIBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "9773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aquadilla, PR

Sources for this page

Verify at the official NPI Registry.