Active NPI
Juan Antonio Acevedo Lopez Sr., DMD
- General Practice Dentistry
- San Sebastian, PR
National Provider Identifier
1366416059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 784
- Practice address
- 16 Calle Betances
San Sebastian, PR 00685-2320 - Phone
- (787) 896-1280
- Fax
- (787) 896-1280
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 784 | PR | Primary |
Addresses
Primary practice location
16 Calle Betances
San Sebastian, PR 00685-2320
Mailing address
16 Calle Betances
P.O. Box 2077
San Sebastian, PR 00685-2320
Phone (787) 896-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366416059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CALLE BETANCES",
"address_2": "P.O. BOX 2077",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852320",
"telephone_number": "787-896-1280",
"fax_number": "787-896-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CALLE BETANCES",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852320",
"telephone_number": "787-896-1280",
"fax_number": "787-896-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO LOPEZ",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.