Individual provider Active NPI

Pedro Juan Velez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1932310935
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14684 Issued in PR
Practice address
#432 San Claudio Avenue
Urb Sagrado Corazon
San Juan, PR 00926-4222
Phone
(787) 761-3082
Fax
(787) 761-3082
NPI assigned
May 24, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 14684 PR Primary

Addresses

Primary practice location

#432 San Claudio Avenue
Urb Sagrado Corazon
San Juan, PR 00926-4222

Mailing address

#183 Adoquines St
Urb. Los Faroles
Bayamon, PR 00956-0000
Phone (787) 462-5728

Other identifiers 2

IdentifierTypeStateIssuer
DM13757-0OtherPRSTATE NARCOTICS
14684OtherPRSTATE LICENSE MD

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
I20160620001641 PR Order and Referring Only - General PracticePractitioner - General Practice 0244521490

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932310935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#183 ADOQUINES ST",
            "address_2": "URB. LOS FAROLES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "telephone_number": "787-462-5728",
            "fax_number": "787-761-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#432 SAN CLAUDIO AVENUE",
            "address_2": "URB SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264222",
            "telephone_number": "787-761-3082",
            "fax_number": "787-761-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "PEDRO",
        "middle_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NARCOTICS",
            "identifier": "DM13757-0",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE MD",
            "identifier": "14684",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.