Individual provider Active NPI

Jesus R. Velez-Borras, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Juan, PR
National Provider Identifier
1770678542
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
4243 Issued in PR
Practice address
500 Avenida Domenech
Suite 301
San Juan, PR 00918-3713
Phone
(787) 751-1166
Fax
(787) 751-1089
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 4243 PR Primary

Addresses

Primary practice location

500 Avenida Domenech
Suite 301
San Juan, PR 00918-3713

Mailing address

62 Calle Falcon
Urb Montehiedra
San Juan, PR 00926-9536
Phone (787) 751-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4243FLMDClinical Psychologist
4243PRMDNeurology with Special Qualifications in Child Neurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1770678542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CALLE FALCON",
            "address_2": "URB MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269536",
            "telephone_number": "787-751-1166",
            "fax_number": "787-751-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVENIDA DOMENECH",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183713",
            "telephone_number": "787-751-1166",
            "fax_number": "787-751-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ-BORRAS",
        "first_name": "JESUS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.