Jose A Acevedo, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0226 Issued in PR

Practice address

268 Ave Ponce de Leon
Suite 407 Hato Rey Center Building
San Juan, PR 00918-2002

Phone

(787) 955-8663

Fax

(787) 281-8533

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479600000000",
    "number": "1487952339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON",
            "address_2": "APT 1482",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095001",
            "telephone_number": "787-955-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 AVE PONCE DE LEON",
            "address_2": "SUITE 407 HATO REY CENTER BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182002",
            "telephone_number": "787-955-8663",
            "fax_number": "787-281-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "0226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Acevedo, MD
• Edgar N. Acevedo, M.D.
• Gabriela Acevedo
• Irma Cristina Acevedo, PSY.D.
• Ivonne V Acevedo, O.D.
• Juan J Acevedo
• Keishla Acevedo, MSW
• Lisette Acevedo, TECH.
• Maria M Acevedo, PHD
• Mariela Acevedo, D.M.D.

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.