Individual provider Active NPI

Manuel Velilla Iglesias, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1861461261
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5373 Issued in PR
Practice address
252 Calle San Jorge
San Jorge Medical Building, Suite 405
San Juan, PR 00912-3239
Phone
(787) 728-8338
Fax
(787) 727-0507
NPI assigned
Mar 16, 2006
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5373 PR Primary

Addresses

Primary practice location

252 Calle San Jorge
San Jorge Medical Building, Suite 405
San Juan, PR 00912-3239

Mailing address

PO Box 362318
San Juan, PR 00936-2318
Phone (787) 728-8338

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
I20060323000399 PR Practitioner - Obstetrics/Gynecology 9931117546 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

252 Calle San Jorge
Suite 405
Santurce, PR 00912-3241
Phone (787) 728-8338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Community Hospital, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1861461261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362318",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362318",
            "telephone_number": "787-728-8338",
            "fax_number": "787-727-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SAN JORGE MEDICAL BUILDING, SUITE 405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-728-8338",
            "fax_number": "787-727-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELILLA IGLESIAS",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.