Individual provider Active NPI

Ivonne V Acevedo, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1083642193
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
465 Issued in PR
Practice address
Ext Roosevelt #521 Calle Rafael Lamar
San Juan Puerto Rico
San Juan, PR 00918-2654
Phone
(787) 314-9740
NPI assigned
Jun 29, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 465 PR Primary

Addresses

Primary practice location

Ext Roosevelt #521 Calle Rafael Lamar
San Juan Puerto Rico
San Juan, PR 00918-2654

Mailing address

Ext Roosevelt #521 Calle Rafael Lamar
San Juan Puerto Rico
San Juan, PR 00918-2654
Phone (787) 314-9740

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000424 PR Practitioner - Optometry 8628149168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
465PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Oct 16, 2017 Accepting new patients
HPM Foundation Inc Current Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Interoperability endpoints

  • Direct secure messaging: ivonne.acevedo@hpmpr.eclinicaldirectplus.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, 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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1083642193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT ROOSEVELT #521 CALLE RAFAEL LAMAR",
            "address_2": "SAN JUAN PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182654",
            "telephone_number": "787-314-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT ROOSEVELT #521 CALLE RAFAEL LAMAR",
            "address_2": "SAN JUAN PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182654",
            "telephone_number": "787-314-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "IVONNE",
        "middle_name": "V",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.