Active NPI
Jacimary Velez
- Addiction (Substance Use Disorder) Counselor
- Camuy, PR
National Provider Identifier
1851761597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4087
- Practice address
- 63 Ave Munoz Rivera E
Camuy, PR 00627-2630 - Phone
- (787) 262-6603
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4087 | PR | Primary |
Addresses
Primary practice location
63 Ave Munoz Rivera E
Camuy, PR 00627-2630
Mailing address
HC 3 Box 11996
Utuado, PR 00641-6505
Phone (787) 262-6603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4087 | Other | PR | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| 4087 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1851761597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 11996",
"city": "UTUADO",
"state": "PR",
"postal_code": "006416505",
"telephone_number": "787-262-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 AVE MUNOZ RIVERA E",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272630",
"telephone_number": "787-262-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "JACIMARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "4087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "4087",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.