NPIMap

Individual provider Active NPI

Agustin Gabriel Velazquez Perez

  • Nephrology Physician
  • Toa Baja, PR
National Provider Identifier
1942614599
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22037 Issued in PR
Practice address
A la Orden Shopping Center 2ND FL 600
Toa Baja, PR 00949
Phone
(787) 710-2532
NPI assigned
Jun 11, 2014
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31036 PR
Nephrology Physician 207RN0300X A161591 CA
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 22037 PR Primary

Addresses

Primary practice location

A la Orden Shopping Center 2ND FL 600
Toa Baja, PR 00949

Mailing address

4633 Ave. Isla Verde Apt 303-a Cond. Castillo del Mar
Carolina, PR 00979
Phone (939) 639-0967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, WY, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210325000962 PR Practitioner - Nephrology 4880942549 Reassigns benefits to 2 organizations
Practice locations: Toa Baja, PR
I20220405001489 WY Practitioner - Internal MedicinePractitioner - Nephrology 4880942549 Reassigns benefits to 1 organization
I20220916001688 MT Practitioner - Nephrology 4880942549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians
Billings ClinicGroup PAC ID 6002993516, shared by 7 NPIs, 814 clinicians

Practice addresses (Care Compare)

2 ND Bayamon Health Ctr
Bayamon, PR 00961

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Calle Manuel F Rossi Esq Isabel II
Bayamon Medical Center 2ND FL
Bayamon, PR 00961
Phone 78726965902206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31036PRMDInternal Medicine Physician
A161591CAMDNephrology Physician
22037PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Single Specialty Current Accepting new patients
Billings Clinic Single Specialty CurrentSince Aug 4, 2025 Accepting new patients
Billings Clinic Single Specialty CurrentSince Jul 22, 2022 Accepting new patients
Salud Integral En la Montana, Inc Single Specialty Current Accepting new patients
Salud Integral En la Montana, Inc Single Specialty CurrentSince Aug 6, 2021 Accepting new patients
Salud Integral En la Montana, Inc. Single Specialty CurrentSince Aug 6, 2021 Accepting new patients
Pro-Health Clinical Services LLC Single Specialty CurrentSince Sep 17, 2025 Accepting new patients
Billings Clinic Single Specialty CurrentSince Jul 22, 2022 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

620 S Haynes Ave
Miles City, MT 59301
Phone (406) 233-7000

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1942614599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 AVE. ISLA VERDE APT 303-A COND. CASTILLO DEL MAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "939-639-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A LA ORDEN SHOPPING CENTER 2ND FL 600",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ PEREZ",
        "first_name": "AGUSTIN",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "31036",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A161591",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "22037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.