Individual provider Active NPI

Luis Francisco Acevedo Rodriguez, M.D..

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1326149121
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14773 Issued in PR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DM13846-1OtherPRASSMCA
14773OtherPRSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000655 PR Practitioner - PsychiatryPractitioner - Internal Medicine 8729988498 Practice locations: Gucynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, shared by 8 NPIs, 66 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.