Individual provider Active NPI

Maritza Acevedo Cuevas

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1295942225
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13763 Issued in PR
Practice address
5859 Ave Isla Verde
Suite 15
Carolina, PR 00979-5701
Phone
(787) 633-3833
NPI assigned
May 17, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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 13763 PR Primary

Addresses

Primary practice location

5859 Ave Isla Verde
Suite 15
Carolina, PR 00979-5701

Mailing address

Urb El Dorado
Calle a #E-1
San Juan, PR 00926
Phone (939) 630-3380

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
I20090205000129 PR Practitioner - General Practice 3375607377 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13763PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Feb 23, 2021 Accepting new patients
Neomed Center, Inc Current Accepting new patients
PR Healthcare Management Group CurrentSince Jan 24, 2018 Accepting new patients
PR Healthcare Management Group CurrentSince Jan 24, 2018 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc. CurrentSince Feb 23, 2021 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1295942225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL DORADO",
            "address_2": "CALLE A #E-1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-630-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 AVE ISLA VERDE",
            "address_2": "SUITE 15",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795701",
            "telephone_number": "787-633-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO CUEVAS",
        "first_name": "MARITZA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.