Individual provider Active NPI

Edgar Allan Pou Acevedo, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1194304014
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023556 Issued in PR
Practice address
Carr #2 KM 119.8 Bo. Caimital Alto
Aguadilla, PR 00603
Phone
(787) 420-0834
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023556 PR Primary

Addresses

Primary practice location

Carr #2 KM 119.8 Bo. Caimital Alto
Aguadilla, PR 00603

Mailing address

PO Box 779
Moca, PR 00676-0779
Phone (787) 408-2533

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319004199 PR Practitioner - General Practice 5092152587 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023556PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica del Atlantico, Corp. CurrentSince Mar 19, 2024 Accepting new patients
Integramed LLC General Practice CurrentSince Aug 3, 2025 Accepting new patients
Policlinica del Atlantico Corp CurrentSince Mar 19, 2024 Accepting new patients

Organizations & group practices 3

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1194304014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760779",
            "telephone_number": "787-408-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 119.8 BO. CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-420-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POU ACEVEDO",
        "first_name": "EDGAR",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.