NPIMap

Individual provider Active NPI

Griselle M Velazquez, MD

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1962421446
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14672 Issued in PR
Practice address
Aptado 515
Naranjito, PR 00719
Phone
(787) 869-5900
Fax
(787) 869-6120
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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 14672 PR Primary

Addresses

Primary practice location

Aptado 515
Naranjito, PR 00719

Mailing address

418 Calle Munoz Rivera
Penuelas, PR 00624-2015
Phone (787) 836-1683

Other identifiers 1

IdentifierTypeStateIssuer
200199OtherPRMMM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031128000008 PR Practitioner - General Practice 1254236698 Reassigns benefits to 7 organizations
Practice locations: Barranquitas, PR; Orocovis, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14672PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Jun 16, 2013 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 9, 2012 Accepting new patients
Salud Integral En la Montana, Inc. General Practice CurrentSince Oct 9, 2012 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Aug 16, 2013 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Aug 16, 2013 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Oct 9, 2012 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Jun 16, 2013 Accepting new patients
Centro Ceski C S P PastSince Jan 12, 2010 Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

23 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-0008

Organizations & group practices 11

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1962421446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CALLE MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006242015",
            "telephone_number": "787-836-1683",
            "fax_number": "787-836-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APTADO 515",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-5900",
            "fax_number": "787-869-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "GRISELLE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "200199",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.