Active NPI
Taira Acevedo
- Pharmacist
- San Juan, PR
National Provider Identifier
1073393849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2600
- Practice address
- 400 Ave Luis Munoz Rivera
San Juan, PR 00918-3310 - Phone
- (787) 296-8460
- NPI assigned
- Sep 29, 2023
- Last updated
- Nov 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2600 | PR | Primary |
Addresses
Primary practice location
400 Ave Luis Munoz Rivera
San Juan, PR 00918-3310
Mailing address
583 Estancias de Membrillo
Camuy, PR 00627
Phone (787) 634-8003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, 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": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1073393849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 ESTANCIAS DE MEMBRILLO",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-634-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVE LUIS MUNOZ RIVERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183310",
"telephone_number": "787-296-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "TAIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.