Individual provider Active NPI

Gilberto A Solivan Acosta, MD

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1053427443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
16505 Issued in PR
Practice address
440 San Julian
San Juan, PR 00926
Phone
(787) 764-3024
Fax
(787) 789-1921
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 16505 PR Primary

Addresses

Primary practice location

440 San Julian
San Juan, PR 00926

Mailing address

440 Calle San Julian
San Juan, PR 00926-4217
Phone (787) 685-5895

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
I20060913000030 PR Practitioner - Dermatology 6002810645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University Central del Caribe Escuela de Medicina, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Ave Casa Linda
Bayamon, PR 00959-9000
Phone (787) 789-1996

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions316
Removal or shaving of skin growth32
Skin biopsy165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc Dermatology CurrentSince Sep 25, 2006 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Sep 25, 2006 Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Interoperability endpoints

  • Direct secure messaging: gilberto.solivanacosta@4048.securemail.prognocis.com

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053427443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CALLE SAN JULIAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264217",
            "telephone_number": "787-685-5895",
            "fax_number": "787-789-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAN JULIAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-764-3024",
            "fax_number": "787-789-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIVAN ACOSTA",
        "first_name": "GILBERTO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "16505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.