Active NPI
Ilia Viviana Velez Rodriguez
- Internal Medicine Physician
- San German, PR
National Provider Identifier
1851975064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15694-I
- Practice address
- 4 Calle Carrousel
San German, PR 00683-4218 - Phone
- (939) 969-3062
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15694-I | PR | Primary |
Addresses
Primary practice location
4 Calle Carrousel
San German, PR 00683-4218
Mailing address
PO Box 44
San German, PR 00683-0044
Phone (939) 969-3062
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 |
|---|---|---|---|
| 15694-I | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1851975064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830044",
"telephone_number": "939-969-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CALLE CARROUSEL",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834218",
"telephone_number": "939-969-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ RODRIGUEZ",
"first_name": "ILIA",
"middle_name": "VIVIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "15694-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.