Active NPI
Marjorie Acosta-Guillot, M.D
- General Practice Physician
- Toa Alta, PR
National Provider Identifier
1013166107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17279
- Practice address
- L2 Calle 7
Toa Alta, PR 00953-2220 - Phone
- (787) 870-4704
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17279 | PR | Primary |
Addresses
Primary practice location
L2 Calle 7
Toa Alta, PR 00953-2220
Mailing address
Ep3 Calle Jose Mercado
Toa Baja, PR 00949-2814
Phone (787) 685-2853
Other practice location 1
E21 Camino De Begonias
Bayamon, PR 00961-3973
Phone (787) 685-2853
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200908000085 | PR | Practitioner - General Practice | 6709201767 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liv Med | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obesity Medicine (Preventive Medicine) Physician
- Bayamon, PR
- NPI 1669196192
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1013166107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EP3 CALLE JOSE MERCADO",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009492814",
"telephone_number": "787-685-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "L2 CALLE 7",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009532220",
"telephone_number": "787-870-4704"
}
],
"practiceLocations": [
{
"address_1": "E21 Camino De Begonias",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009613973",
"country_code": "US",
"telephone_number": "787-685-2853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA-GUILLOT",
"first_name": "MARJORIE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.