EDWILL BURGOS-VELAZQUEZ LCDO
NPI 1679963722
Nutritionist - Nutrition, Education in Coamo, PR
About Edwill Burgos-velazquez Lcdo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWILL BURGOS-VELAZQUEZ LCDO (NPI 1679963722) is an individual nutrition, education provider in Coamo, Puerto Rico, licensed in Puerto Rico (1897) and active in the NPI registry since January 2015. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edwill Burgos-velazquez Lcdo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edwill Burgos-velazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coamo, PR 00769
- Reassigned Medicare billing, Puerto Rico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edwill Burgos-velazquez's NPI number?
The NPI number for Edwill Burgos-velazquez is 1679963722. It was assigned to this individual provider in the NPPES registry on January 28, 2015.
Where is Edwill Burgos-velazquez located?
Edwill Burgos-velazquez practices at 2 Calle Segundo Bernier, Coamo, PR 00769. The listed phone number is (787) 803-8221.
What is Edwill Burgos-velazquez's specialty?
The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.
Is Edwill Burgos-velazquez enrolled in Medicare?
Yes. Edwill Burgos-velazquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edwill Burgos-velazquez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwill Burgos-velazquez reassigns Medicare benefits to Clinica De Nutricion Del Sur LLC (Coamo, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwill Burgos-velazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edwill Burgos-velazquez was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edwill Burgos-Velazquez, LCDO · NPI 1679963722
Nutrition, Education provider in Coamo, Puerto Rico. Individual provider, active in the CMS NPPES registry since January 28, 2015.
## Identity
- **NPI:** 1679963722 (Entity type: Individual)
- **Enumerated:** January 28, 2015
- **Primary specialty:** Nutritionist - Nutrition, Education · taxonomy 133NN1002X
- **State license:** 1897 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2 CALLE SEGUNDO BERNIER, Coamo, PR 00769-3036
- **Phone:** (787) 803-8221 · **Fax:** (787) 537-7071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Clinica De Nutricion Del Sur LLC (NPI 1306615091, Coamo, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679963722) · Data from the CMS NPPES public registry.