Individual provider Active NPI

Gabriel A Velez Lugo, MD

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1962155176
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22602 Issued in PR
Practice address
150 Calle Jobos
Sabana Grande, PR 00637-2131
Phone
(939) 402-0011
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 22602 PR Primary

Addresses

Primary practice location

150 Calle Jobos
Sabana Grande, PR 00637-2131

Mailing address

150 Calle Jobos
Sabana Grande, PR 00637-2131
Phone (939) 402-0011

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
I20220427000776 PR Practitioner - General Practice 9335536085 Practice locations: Sabana Grande, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22602PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Maunabo 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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1962155176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CALLE JOBOS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372131",
            "telephone_number": "939-402-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALLE JOBOS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372131",
            "telephone_number": "939-402-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ LUGO",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.