Active NPI
Luis Francisco Acevedo Rodriguez, M.D..
- Psychiatry Physician
- Guaynabo, PR
National Provider Identifier
1326149121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14773
- Practice address
- Calle - E, Plaza Guaynabo
Edif. Caribbean Cinemas, Ste 201
Guaynabo, PR 00969 - Phone
- (787) 731-4949
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14773 | PR | |
| Psychiatry Physician | 2084P0800X | 14773 | PR | Primary |
Addresses
Primary practice location
Calle - E, Plaza Guaynabo
Edif. Caribbean Cinemas, Ste 201
Guaynabo, PR 00969
Mailing address
Q-341 Tulipan Street
Lomas de la Serrania
Caguas, PR 00725
Phone (787) 438-3171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DM13846-1 | Other | PR | ASSMCA |
| 14773 | Other | PR | STATE MEDICAL LIC. |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040109000655 | PR | Practitioner - Psychiatry | 8729988498 | Practice locations: Gucynabo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neomed Center, Inc
Practice addresses (Care Compare)
PO Box
Suite 1277
Gurabo, PR 00778-1277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neomed Center, Inc | Past | Accepting new patients | |
| Neomed Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba NeoMed Center-OPD Gurabo
- Federally Qualified Health Center (FQHC)
- Gurabo, PR
- NPI 1790776334
-
dba NeoMed Center - Gurabo Urgent Care
- Urgent Care Clinic/Center
- Gurabo, PR
- NPI 1912384678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1326149121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Q-341 TULIPAN STREET",
"address_2": "LOMAS DE LA SERRANIA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-438-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE - E, PLAZA GUAYNABO",
"address_2": "EDIF. CARIBBEAN CINEMAS, STE 201",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-731-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO RODRIGUEZ",
"first_name": "LUIS",
"middle_name": "FRANCISCO",
"name_prefix": "Dr.",
"credential": "M.D..",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2023-03-07",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "14773",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "14773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSMCA",
"identifier": "DM13846-1",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LIC.",
"identifier": "14773",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.