Individual provider Active NPI

Waika Denisse Velez Colon, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1982892162
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14507 Issued in PR
Practice address
Ave. Tito Castro 909
Torre Medica San Lucas Suite 602
Ponce, PR 00716
Phone
(787) 651-1429
Fax
(787) 651-1430
NPI assigned
Oct 12, 2007
Last updated
Oct 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 14507 PR Primary

Addresses

Primary practice location

Ave. Tito Castro 909
Torre Medica San Lucas Suite 602
Ponce, PR 00716

Mailing address

Calle Felipe II
Mansion Real #604
Coto Laurel, PR 00780
Phone (787) 908-7646

Other identifiers 1

IdentifierTypeStateIssuer
14507OtherPRMEDICAL LICENSE

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
I20090224000447 PR Practitioner - General Practice 2769547892 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Vascular Services PC CurrentSince Jul 1, 2014 Accepting new patients

Locations

909 Ave Tito Castro
Ste 602
Ponce, PR 00716
Phone (787) 651-1429

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1982892162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE FELIPE II",
            "address_2": "MANSION REAL #604",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-908-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. TITO CASTRO 909",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 602",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ COLON",
        "first_name": "WAIKA",
        "middle_name": "DENISSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14507",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.