Individual provider Active NPI

Marjery Nanette Lopez-Acevedo, MD

  • Internal Medicine Physician
  • Aguadilla, PR
National Provider Identifier
1316966252
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14794 Issued in PR
Practice address
Ave. Severiano Cuevas #18
Aguadilla, PR 00605-4055
Phone
(787) 997-1655
Fax
(787) 997-1655
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14794 PR Primary

Addresses

Primary practice location

Ave. Severiano Cuevas #18
Aguadilla, PR 00605-4055

Mailing address

1038 W North Blvd
Suite 102
Leesburg, FL 34748-5077
Phone (352) 315-1627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150827002788 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4981778206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilbert Zeballos PA Internal Medicine CurrentSince May 19, 2013 Accepting new patients
Neurosleep Puerto Rico LLC Past Accepting new patients
Dr. Arturo Cedeno Neumologo CSP Past Accepting new patients

Locations

1038 W North Blvd
Ste 102
Leesburg, FL 34748
Phone (352) 315-1627

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1316966252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 W NORTH BLVD",
            "address_2": "SUITE 102",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485077",
            "telephone_number": "352-315-1627",
            "fax_number": "352-326-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SEVERIANO CUEVAS #18",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-997-1655",
            "fax_number": "787-997-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ACEVEDO",
        "first_name": "MARJERY",
        "middle_name": "NANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.