Armando Enrique Acevedo, M.D.
Individual provider Active NPI General Practice Physician · Miami, FL
NPI 1003901893 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1003901893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ME15590 (FL)
- Practice address
- 2400 NW 54 Street
Miami, FL 33142 - Phone
- (305) 633-9090
- Fax
- (305) 633-9383
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acevedo Medical Care Group Inc
Practice addresses (Care Compare)
2400 NW 54TH St
Miami, FL 33142-2946
Phone (305) 633-9090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130404000084 | FL | Practitioner - Pediatric Medicine | 7416100235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acevedo Medical Care Group Inc | Specialist | Current |
Accepting new patients |
Locations
2400 NW 54th St
Miami, FL 33142
Phone (305) 633-9090
628 NW 22nd Ave
Miami, FL 33125
Phone (305) 541-1050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | ||
| Pediatrics Physician | 208000000X | ME15590 | FL | |
| General Practice Physician | 208D00000X | ME15590 | FL | Yes |
Addresses
Primary practice location
2400 NW 54 Street
Miami, FL 33142
Mailing address
2400 NW 54 Street
Miami, FL 33142
Phone (305) 633-9090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0015590 | Other | FL | LICENSE |
| 100104200 | Medicaid | FL |
Other providers in Miami, FL
- Liz Shenalith Acevedo Ruiz
- Bernice Del Carmen Acevedo-Marcano
- Jenny Melissa Acevedo-Usuga
- Ana Damary Acevedo
- Ana Laura Acevedo
- Armenta Acevedo
- Beatriz R Acevedo
- Brian Manuel Acevedo
- Daniel Acevedo
- Helga Acevedo
All providers in Miami, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.