Individual provider Active NPI

Yoenny Fabelo Acevedo, DC

  • Chiropractor
  • Miami, FL
National Provider Identifier
1154667244
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12702 Issued in FL
Practice address
7392 NW 35TH Ter Ste 309
Miami, FL 33122-1260
Phone
(786) 631-4976
Fax
(786) 633-5185
NPI assigned
Dec 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 66017 FL
Chiropractor 111N00000X CH12702 FL Primary

Addresses

Primary practice location

7392 NW 35TH Ter Ste 309
Miami, FL 33122-1260

Mailing address

7392 NW 35TH Ter Ste 310
Miami, FL 33122-1260
Phone (786) 631-4976

Other practice location 1

12025 SW 18th St Apt 11
Miami, FL 33175-7332
Phone (786) 376-3658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106002099 FL Practitioner - Chiropractic 3971835265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA 66017FLMDMassage Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1154667244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221260",
            "telephone_number": "786-631-4976",
            "fax_number": "786-633-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221260",
            "telephone_number": "786-631-4976",
            "fax_number": "786-633-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 SW 18th St Apt 11",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331757332",
            "country_code": "US",
            "telephone_number": "786-376-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABELO ACEVEDO",
        "first_name": "YOENNY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 66017",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.