Luis G Acevedo Lazzarini, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4597 Issued in PR

Practice address

Hospital Buen Samaritano
Ave Kennedy #18 KM 1411
Aguadilla, PR 00605

Phone

(787) 819-0800

NPI assigned

Jul 14, 2005

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medicina Audaz, Inc.

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1750434346
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1104825983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "address_2": "VICTORIA STATION",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051868",
            "telephone_number": "787-819-1215",
            "fax_number": "787-819-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL BUEN SAMARITANO",
            "address_2": "AVE KENNEDY #18  KM 1411",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-819-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO LAZZARINI",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "4597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Abreu
• Jose A Acevedo Acevedo, M.D.
• Luis Antonio Acevedo Aquino, MD
• Jorge Acevedo Canabal, MD
• Lissette Acevedo Cruz, PSYD
• Gisela Acevedo Morales, MD
• Manuel Alejandro Acevedo Pena, MD
• Luis Enrique Acevedo Rodriguez
• Cristina Acevedo Soto, PHARMD
• Victor Yavier Acevedo Torres, MT STUDENT

• Orthopaedic Surgery Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Orthopaedic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.