Individual provider Active NPI

Armando Enrique Acevedo, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1003901893
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME15590 Issued in FL
Practice address
2400 NW 54 Street
Miami, FL 33142
Phone
(305) 633-9090
Fax
(305) 633-9383
NPI assigned
Oct 4, 2006
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL
Pediatrics Physician 208000000X ME15590 FL
General Practice Physician 208D00000X ME15590 FL Primary

Addresses

Primary practice location

2400 NW 54 Street
Miami, FL 33142

Mailing address

2400 NW 54 Street
Miami, FL 33142
Phone (305) 633-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130404000084 FL Practitioner - Pediatric Medicine 7416100235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acevedo Medical Care Group IncGroup PAC ID 8123271947, 7 clinicians

Practice addresses (Care Compare)

2400 NW 54TH St
Miami, FL 33142-2946
Phone (305) 633-9090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME15590FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acevedo Medical Care Group Inc Specialist CurrentSince Feb 18, 2013 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

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1003901893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW 54 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-633-9090",
            "fax_number": "305-633-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW 54 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-633-9090",
            "fax_number": "305-633-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "ARMANDO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME15590",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME15590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.