Mario O Velez Gonzalez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10038 Issued in PR

Practice address

Ave 65 de Infanteria #57
Anasco, PR 00610

Phone

(787) 826-3666

Fax

(787) 826-3666

NPI assigned

Aug 24, 2006

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1750498085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "65 DE INFANTERIA #57",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-3666",
            "fax_number": "787-826-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65 DE INFANTERIA #57",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-3666",
            "fax_number": "787-826-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GONZALEZ",
        "first_name": "MARIO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "10038",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "82148",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Vazquez, CRNA
• VCS Medical Services, LLC
• Janice Marie Vega-Guzman
• Lourdes Matias Vega, RN
• Candy Nicolle Velez Gonzalez, MS SLP
• Coralys Velez Santos
• Frances L. Velez Vargas
• Victor M Castillo Torres (Laboratorio Clinico Castillo)
• Vigo Medical Group LLC
• Elvin Vigo Paredes, M.D.

• General Practice Physician in Anasco, PR
• Providers in Anasco, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.