Jean Carlos Acevedo, D.C.
Individual provider Active NPI Neurology Chiropractor · Hatillo, PR
NPI 1093263303 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1093263303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 0612 (PR)
- Practice address
- Calle 493 KM 0.9 Bo Carrizales
Del Norte Professional Plaza Office 101
Hatillo, PR 00659 - Phone
- (787) 607-2037
- NPI assigned
- Sep 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 493 KM 0
Del Norte Professional Center Suite 101
Hatillo, PR 00659-2038
Phone (787) 544-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622000836 | PR | Practitioner - Chiropractic | 3072881697 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0612 | PR | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Health Center LLC | Neurology | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 0612 | PR | Yes |
Addresses
Primary practice location
Calle 493 KM 0.9 Bo Carrizales
Del Norte Professional Plaza Office 101
Hatillo, PR 00659
Mailing address
PO Box 140382
Arecibo, PR 00614-0382
Phone (787) 607-2037
Other providers in Hatillo, PR
- Nidal Abukhalil Rashid
- Dianora Carolina Acaba Rodriguez
- Isamarys Acevedo Gonzalez
- Wanda Acevedo
- Advance Respond Care Ambulance Inc
- Advancing Medical Clicic
- Aixa E Vega Rodriguez
- Lisandra Alcaide Molina
All providers in Hatillo, PR · Neurology Chiropractor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.