Active NPI
Emanuel Velazquez Sr., AD
- Technician/Technologist
- Carolina, PR
National Provider Identifier
1821335266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 586
- Practice address
- Calle Orguidea #60a 671
Buenaventura
Carolina, PR 00987 - Phone
- (787) 364-7731
- NPI assigned
- Jan 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 586 | PR | Primary |
Addresses
Primary practice location
Calle Orguidea #60a 671
Buenaventura
Carolina, PR 00987
Mailing address
Calle Orguidea #60a Buzon 671
Buenaventura
Carolina, PR 00987
Phone (787) 364-7731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1821335266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ORGUIDEA #60A BUZON 671",
"address_2": "BUENAVENTURA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-364-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ORGUIDEA #60A 671",
"address_2": "BUENAVENTURA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-364-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "EMANUEL",
"name_suffix": "Sr.",
"credential": "AD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "PR",
"license": "586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.