Active NPI
Miguel Ali Velazquez Valle, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Gurabo, PR
National Provider Identifier
1962567248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 14177
- Practice address
- Calle San Antonio Final #941 Salida Barrio Jaguas
Gurabo Community Health Center
Gurabo, PR 00778 - Phone
- (787) 737-2311
- Fax
- (787) 737-2377
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 14177 | PR | Primary |
Addresses
Primary practice location
Calle San Antonio Final #941 Salida Barrio Jaguas
Gurabo Community Health Center
Gurabo, PR 00778
Mailing address
H7 Calle Caoba
Mansiones Colinas de Cupey
San Juan, PR 00926-7554
Phone (787) 946-0072
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040204000096 | PR | Practitioner - Family Practice | 7719870864 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Puerto Rico School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 1277
Gurabo, PR 00778-1277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neomed Center, Inc | Current | Accepting new patients | |
| Neomed Center, Inc. | Current | Accepting new patients | |
| Neomed Center, Inc | Current | Accepting new patients | |
| Centro de Medicina Primaria Y Geriatria PSC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Medical Laboratory
- Gurabo, PR
- NPI 1518286962
-
- Federally Qualified Health Center (FQHC)
- Naguabo, PR
- NPI 1093357337
-
- General Practice Physician
- Caguas, PR
- NPI 1356817217
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1962567248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "H7 CALLE CAOBA",
"address_2": "MANSIONES COLINAS DE CUPEY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267554",
"telephone_number": "787-946-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SAN ANTONIO FINAL #941 SALIDA BARRIO JAGUAS",
"address_2": "GURABO COMMUNITY HEALTH CENTER",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-737-2311",
"fax_number": "787-737-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ VALLE",
"first_name": "MIGUEL",
"middle_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PR",
"license": "14177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.