Individual provider Active NPI

Vanessa Velez Martinez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1770738742
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17404 Issued in PR
Practice address
256 Calle Convento
San Juan, PR 00912-3207
Phone
(787) 518-6374
Fax
(787) 726-5852
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 17404 PR Primary

Addresses

Primary practice location

256 Calle Convento
San Juan, PR 00912-3207

Mailing address

256 Calle Convento
San Juan, PR 00912-3207
Phone (787) 518-6374

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
I20090805000037 PR Practitioner - General Practice 7719030030 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Convento
258 Suite 403
San Juan, PR 00912-3207
Phone (787) 518-6374

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sjcvavelez@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1770738742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CALLE CONVENTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123207",
            "telephone_number": "787-518-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CALLE CONVENTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123207",
            "telephone_number": "787-518-6374",
            "fax_number": "787-726-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ MARTINEZ",
        "first_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.