Consultorio Medico Dr. Obed R. Garcia Acevedo, CSP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

151665 Issued in PR

Legal business name

CONSULTORIO MEDICO DR. OBED R. GARCIA ACEVEDO, CSP

Practice address

Carr. 129 KM 8.3
Bo Campo Alegre
Hatillo, PR 00659-6901

Phone

(787) 898-6511

Fax

(787) 544-6040

NPI assigned

Mar 3, 2011

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Obed Rene Garcia Acevedo, MD

Title

President

Phone

(787) 597-1167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1154629996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69001",
            "address_2": "PMB 195",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006596901",
            "telephone_number": "787-898-6511",
            "fax_number": "787-544-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 129 KM 8.3",
            "address_2": "BO CAMPO ALEGRE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006596901",
            "telephone_number": "787-898-6511",
            "fax_number": "787-544-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO MEDICO DR. OBED R. GARCIA ACEVEDO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA ACEVEDO",
        "authorized_official_first_name": "OBED",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-597-1167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "151665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.