Individual provider Active NPI

Jose Alberto Acevedo, MD

  • Neurology Physician
  • Mayaguez, PR
National Provider Identifier
1447451836
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16784 Issued in PR
Practice address
Carr #2 Ave. Hostos KM 157,
Medical Emporium II Suite 3a
Mayaguez, PR 00680
Phone
(787) 265-6622
NPI assigned
May 31, 2007
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16784 PR Primary

Addresses

Primary practice location

Carr #2 Ave. Hostos KM 157,
Medical Emporium II Suite 3a
Mayaguez, PR 00680

Mailing address

42 Calle Costa Brava
Las Vistas
Cabo Rojo, PR 00623-9393
Phone (787) 447-8819

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
I20070720000559 PR Practitioner - Neurology 0244331262 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR; San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 Hostos Ave
Suite 3a Medical Emporium II
Mayaguez, PR 00680-7014
Phone (787) 265-6622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16784PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western PR Neurological Clinic CSP CurrentSince Aug 18, 2013 Accepting new patients

Organizations & group practices 1

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1447451836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CALLE COSTA BRAVA",
            "address_2": "LAS VISTAS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006239393",
            "telephone_number": "787-447-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 AVE. HOSTOS KM 157,",
            "address_2": "MEDICAL EMPORIUM II SUITE 3A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "16784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.