Camille Acevedo Rosa, 16698

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16698 Issued in PR

Practice address

Barrio Saltos II
San Sebastian, PR 00685-9503

Phone

(787) 612-3054

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGIADA/Endpoint/HGIADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286

  PR

  Medicare reassignment
• Migrant Health Center Western Region, Inc.

  • Radiology Clinic/Center
  • Mayaguez, PR
  • NPI 1912491465
  NPD
• Family Health Group S.S.C.S.P

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1700962586

  General Practice

  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1013040922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7004 PMB 110",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859503",
            "telephone_number": "787-896-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO SALTOS II",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859503",
            "telephone_number": "787-612-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO ROSA",
        "first_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "16698",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Tiempo, LLC
• Bedzaida Acevedo Lopez, PHARMACY TECHNICIAN
• Juan Antonio Acevedo Lopez Sr., DMD
• Luis Acevedo
• Migdalia Acevedo
• Advance Digital Image, Corp
• Advance Emergency Care System Corp
• Advanced Chiropractic Services Corp PSC

• All providers in San Sebastian, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.