Organization Active NPI

Medicine Internal Dra Sara Acevedo CSP

  • Internal Medicine Physician
  • Carolina, PR
National Provider Identifier
1427318195
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0011448 Issued in PR
Legal business name
MEDICINE INTERNAL DRA SARA ACEVEDO CSP
Practice address
Ave Sanchez Osorio # 5-G4
Villa Fontana
Carolina, PR 00983-3226
Phone
(787) 776-7012
Fax
(787) 776-7013
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Sara G Acevedo
Title
Internal Medicine
Phone
(787) 776-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0011448 PR Primary

Addresses

Primary practice location

Ave Sanchez Osorio # 5-G4
Villa Fontana
Carolina, PR 00983-3226

Mailing address

PO Box 29499
San Juan, PR 00929-0499
Phone (787) 776-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130415000143 PR Part B Supplier - Clinic/Group Practice 5991941130 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Locations

5F4 Ave Sanchez Osorio
Carolina, PR 00983
Phone (787) 776-7012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1427318195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29499",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290499",
            "telephone_number": "787-776-7012",
            "fax_number": "787-776-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SANCHEZ OSORIO # 5-G4",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833226",
            "telephone_number": "787-776-7012",
            "fax_number": "787-776-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE INTERNAL DRA SARA ACEVEDO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "787-776-7012",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "0011448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.