Individual provider Active NPI

Annie D Hernandez Velez, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1871760512
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17158 Issued in PR
Practice address
4 Calle Emilio Ruiz
San Sebastian, PR 00685-2205
Phone
(939) 645-2518
NPI assigned
May 12, 2008
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17158 PR Primary

Addresses

Primary practice location

4 Calle Emilio Ruiz
San Sebastian, PR 00685-2205

Mailing address

4 Calle Emilio Ruiz
San Sebastian, PR 00685-2205
Phone (939) 645-2518

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
I20080610000182 PR Practitioner - General Practice 6901976430 Practice locations: San Sebastian, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tattuannie Borinquen Office PS General Practice 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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1871760512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE EMILIO RUIZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852205",
            "telephone_number": "939-645-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE EMILIO RUIZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852205",
            "telephone_number": "939-645-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ VELEZ",
        "first_name": "ANNIE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.