Individual provider Active NPI

Ismael Velazquez Rosado, MD

  • Internal Medicine Physician
  • Cabo Rojo, PR
National Provider Identifier
1801887559
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9188 Issued in PR
Practice address
Edificio Profesional Borinquen
Ofic #5
Cabo Rojo, PR 00623
Phone
(787) 851-3810
NPI assigned
Nov 2, 2005
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9188 PR Primary

Addresses

Primary practice location

Edificio Profesional Borinquen
Ofic #5
Cabo Rojo, PR 00623

Mailing address

PO Box 1939
Cabo Rojo, PR 00623-1939
Phone (787) 851-3810

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
I20110224000327 PR Practitioner - Internal Medicine 6709067739 Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Centro Profesional Borinquen
100 Ave. Pedro Albizu Campos Suit 108
Cabo Rojo, PR 00623

Edificio Profesional Borinquen
100 Ave. Pedro Albizu Campos Suit 108
Cabo Rojo, PR 00623

PO Box
Suite 1939
Cabo Rojo, PR 00623

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1801887559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1939",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231939",
            "telephone_number": "787-851-3810",
            "fax_number": "787-255-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PROFESIONAL BORINQUEN",
            "address_2": "OFIC #5",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-851-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ ROSADO",
        "first_name": "ISMAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.