NPIMap

Organization Active NPI

Rolando Acevedo, M.D., P.a.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1396800447
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0064850 Issued in FL
Legal business name
ROLANDO ACEVEDO, M.D., P.A.
Practice address
10796 Pines Blvd
Suite 106
Pembroke Pines, FL 33026-3919
Phone
(954) 443-5688
Fax
(954) 432-9882
NPI assigned
Dec 27, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Rolando Acevedo, M.D.NPI 1245284090
Title
Medical Doctor
Phone
(954) 443-5688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0064850 FL Primary

Addresses

Primary practice location

10796 Pines Blvd
Suite 106
Pembroke Pines, FL 33026-3919

Mailing address

10796 Pines Blvd
Suite 106
Pembroke Pines, FL 33026-3919
Phone (954) 443-5688

Other identifiers 1

IdentifierTypeStateIssuer
374489201MedicaidFL

National Provider Directory

National Provider Directory

Locations

10796 Pines Blvd
Ste 106
Pembroke Pines, FL 33026
Phone (954) 443-5688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1396800447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 106",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919",
            "telephone_number": "954-443-5688",
            "fax_number": "954-432-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10796 PINES BLVD",
            "address_2": "SUITE 106",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263919",
            "telephone_number": "954-443-5688",
            "fax_number": "954-432-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO ACEVEDO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-443-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0064850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374489201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.