Individual provider Active NPI

Ivan F. Velez Miro, M.D.

  • Nuclear Medicine Physician
  • San Juan, PR
National Provider Identifier
1982717286
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
16235 Issued in PR
Practice address
525 Ave FD Roosevelt
Ste 401 la Torre de Plaza Las Americas
San Juan, PR 00918-8001
Phone
(787) 237-0554
Fax
(787) 282-0472
NPI assigned
Aug 17, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16235 PR
Nuclear Medicine Physician 207U00000X 16235 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
Ste 401 la Torre de Plaza Las Americas
San Juan, PR 00918-8001

Mailing address

525 Ave FD Roosevelt
Ste 401 la Torre de Plaza Las Americas
San Juan, PR 00918-8001
Phone (787) 237-0554

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
I20091118000030 PR Practitioner - Nuclear MedicinePractitioner - Internal Medicine 5294873964 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16235PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Dr. Susoni. Inc. CurrentSince Oct 30, 2025 Accepting new patients
Nuclear Imaging & Medicine PR LLC Internal Medicine Current Accepting new patients

Locations

55 Calle Palma
Arecibo, PR 00612
Phone (787) 619-6667

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1982717286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "STE 401 LA TORRE DE PLAZA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-237-0554",
            "fax_number": "787-282-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "STE 401 LA TORRE DE PLAZA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-237-0554",
            "fax_number": "787-282-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ MIRO",
        "first_name": "IVAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16235",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "16235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.