Individual provider Active NPI

Aitsa Jimenez Velez, MD

  • Hematology & Oncology Physician
  • Caguas, PR
National Provider Identifier
1891731675
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
11852 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 744-8686
Fax
(787) 258-1258
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 11852 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

RR 4 Box 699
Bayamon, PR 00956-9636
Phone (787) 764-3553

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
I20031111000438 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8729991187 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11852PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PR Cancer Specialists LLC Hematology & Oncology CurrentSince Feb 1, 2023 Accepting new patients
Advanced Hematology and Oncology of Puerto Rico Hematology & Oncology CurrentSince Mar 1, 2022 Accepting new patients

Locations

500 Ave Degetau
Ste 515
Caguas, PR 00725

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

735 Ave Ponce de Leon
Ste 515
San Juan, PR 00917
Phone (787) 274-3387

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1891731675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 699",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569636",
            "telephone_number": "787-764-3553",
            "fax_number": "787-754-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ VELEZ",
        "first_name": "AITSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "11852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.