Organization Active NPI

Dr. Axel W. Velez Santiago CSP

  • Pulmonary Disease Physician
  • San German, PR
National Provider Identifier
1891122263
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10648 Issued in PR
Legal business name
DR. AXEL W. VELEZ SANTIAGO CSP
Practice address
58 Calle Dr Santiago Veve Ste 1
San German, PR 00683-4050
Phone
(787) 892-2217
NPI assigned
Oct 1, 2013
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Axel W Velez, MD
Title
President
Phone
(787) 892-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 10648 PR Primary

Addresses

Primary practice location

58 Calle Dr Santiago Veve Ste 1
San German, PR 00683-4050

Mailing address

PO Box 44
San German, PR 00683-0044
Phone (787) 892-2217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519001486 PR Part B Supplier - Clinic/Group Practice 8426271560 Receives reassigned benefits from 1 practitioner
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Locations

58 Calle Dr Santiago Veve
#1
San German, PR 00683
Phone (787) 892-2217

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1891122263",
    "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": "787-892-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE DR SANTIAGO VEVE STE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834050",
            "telephone_number": "787-892-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AXEL W. VELEZ SANTIAGO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "AXEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-2217",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "10648",
            "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 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.