Individual provider Active NPI

Veronica Velez Medina, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1972713345
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16779 Issued in PR
Practice address
1801 Ave Ponce de Leon Oficina 401-F
Santurce Medical Mall
San Juan, PR 00909-9999
Phone
(787) 597-9197
Fax
(787) 726-4244
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 16779 PR Primary

Addresses

Primary practice location

1801 Ave Ponce de Leon Oficina 401-F
Santurce Medical Mall
San Juan, PR 00909-9999

Mailing address

48 Ave Munoz Rivera
Cond Aqua Blue Apt 2106
San Juan, PR 00918-1630
Phone (787) 597-9197

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
I20080630000356 PR Practitioner - General SurgeryPractitioner - General Practice 0840362232 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Feb 3, 2018 Accepting new patients
Varela Deliz Medical Group, LLC General Practice CurrentSince Oct 22, 2023 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Feb 3, 2018 Accepting new patients
Varela and Velez Medical Clinic LLC General Practice CurrentSince Feb 24, 2022 Accepting new patients
Corporacion Profesional de Servicios de Salud General Practice Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1972713345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AVE MUNOZ RIVERA",
            "address_2": "COND AQUA BLUE APT 2106",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181630",
            "telephone_number": "787-597-9197",
            "fax_number": "787-726-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON OFICINA 401-F",
            "address_2": "SANTURCE MEDICAL MALL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009099999",
            "telephone_number": "787-597-9197",
            "fax_number": "787-726-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ MEDINA",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.