Individual provider Active NPI

Surilo I Acosta Cadena, M.D.

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1437152964
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6413 Issued in PR
Practice address
Za1 Calle 36
Urb. Riverview
Bayamon, PR 00961-3929
Phone
(787) 785-2694
Fax
(787) 787-3109
NPI assigned
May 30, 2005
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6413 PR Primary
General Practice Physician 208D00000X 6413 PR

Addresses

Primary practice location

Za1 Calle 36
Urb. Riverview
Bayamon, PR 00961-3929

Mailing address

PO Box 51526
Toa Baja, PR 00950-1526
Phone (787) 785-2694

Other identifiers 5

IdentifierTypeStateIssuer
2890OtherPRIMC PROVIDER
9500033OtherPRHUMANA PROVIDER
068311OtherPRCRUZ AZUL PROVIDER
27740ACOtherPRSSS PROVIDER
500403EOtherPRMMM PROVIDER

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
I20091029000520 PR Practitioner - General PracticePractitioner - Family Practice 4789721499 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Az-136 St
Urb Riverview
Bayamon, PR 00961
Phone (787) 785-2694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6413PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Cardiovascular Services CSP CurrentSince Feb 1, 2008 Accepting new patients
Riverview Medical Services, Inc. Family Medicine Past Accepting new patients

Locations

ZA1 Calle 36
Bayamon, PR 00961

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1437152964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51526",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501526",
            "telephone_number": "787-785-2694",
            "fax_number": "787-787-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZA1 CALLE 36",
            "address_2": "URB. RIVERVIEW",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613929",
            "telephone_number": "787-785-2694",
            "fax_number": "787-787-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA CADENA",
        "first_name": "SURILO",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "6413",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROVIDER",
            "identifier": "2890",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER",
            "identifier": "9500033",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROVIDER",
            "identifier": "068311",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER",
            "identifier": "27740AC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER",
            "identifier": "500403E",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.