Luz Colon Acevedo Sr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17805 Issued in PR

Practice address

Calle 4 Parcelas Nuevas 448
Bo San Jose
Toa Baja, PR 00952

Phone

(939) 232-8405

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prymed Medical Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ciales, PR
  • NPI 1881661866
  Medicare reassignment
• Prymed Medical Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Vega Baja, PR
  • NPI 1811451883
  NPD

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1386068591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "address_2": "C/4 PARCELAS NUEVAS, NUM 448, BO. SAN JOSE 00949",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009510279",
            "telephone_number": "939-232-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 4 PARCELAS NUEVAS 448",
            "address_2": "BO SAN JOSE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "939-232-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON ACEVEDO",
        "first_name": "LUZ",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "17805",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Dental Dr. Garcia Jordan PSC
• Clinica Dental Jireh
• Clinica Multidisciplinaria Libelula
• Alejandra Maria Collado Yulfo, LND
• Marangely Collazo-Vega
• Claudimar Colon Irizarry, DMD
• Estefany Colon Lopez, OD
• Sarah I Colon Plaza, PHD
• Natalia Colon Ralat
• Francheska Michelle Colon-Bonilla

• Clinical Social Worker in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.