Ilia I Huertas Velazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13588 Issued in PR

Practice address

Ab1 Calle Reina Isabel
Ave. Bairoa
Caguas, PR 00725-1565

Phone

(787) 662-0519

NPI assigned

Jul 12, 2005

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1992703185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V2 CALLE 65",
            "address_2": "URB.BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271232",
            "telephone_number": "787-662-0519",
            "fax_number": "787-662-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AB1 CALLE REINA ISABEL",
            "address_2": "AVE. BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251565",
            "telephone_number": "787-662-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTAS VELAZQUEZ",
        "first_name": "ILIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13588",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "2544",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospital Oncologico Dr. Isaac Gonzalez Martinez
• Richard House
• Huellitas de Amor Pediatric Home Care,Inc.
• Huertas College
• Huertas Junior College
• Sonia Huertas, PSYD
• Idv Medical Services
• Idxpert, P.C.
• Imaging Technology Associates
• Infectology Services LLC

• General Practice Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.