Individual provider Active NPI

Alexander Castro Acevedo, MD

  • General Practice Physician
  • Juncos, PR
National Provider Identifier
1013578426
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21387 Issued in PR
Practice address
Carr 31 KM 20.5 Sector Rosalia
Barrio Gurabo Arriba
Juncos, PR 00777
Phone
(939) 248-7616
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21387 PR Primary

Addresses

Primary practice location

Carr 31 KM 20.5 Sector Rosalia
Barrio Gurabo Arriba
Juncos, PR 00777

Mailing address

PO Box 2939
Juncos, PR 00777-5939
Phone (939) 248-7616

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003562 PR Practitioner - General Practice 6507296597 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince Feb 29, 2020 Accepting new patients
Hospital Menonita de Cayey General Practice CurrentSince Jul 1, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jul 1, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 29, 2020 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: alexander.castroacevedo@4048.securemail.prognocis.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1013578426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2939",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007775939",
            "telephone_number": "939-248-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 31 KM 20.5 SECTOR ROSALIA",
            "address_2": "BARRIO GURABO ARRIBA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "939-248-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO ACEVEDO",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.