Yaelis C Acevedo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

003408 Issued in PR

Practice address

1206 Calle 62 SE
San Juan, PR 00921-3134

Phone

(939) 265-8370

NPI assigned

Oct 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuroactivo Inc

  • Alzheimer Center (Dementia Center)
  • Dorado, PR
  • NPI 1588166557
  NPD Authorized official
• Neuroactivo Memory Care Services LLC.

  dba Neuroactivo Memory Care Center

  • Alzheimer Center (Dementia Center)
  • Arecibo, PR
  • NPI 1396415865
  NPD Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1598364960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213134",
            "telephone_number": "939-265-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213134",
            "telephone_number": "939-265-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "YAELIS",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.facebook.com/NeuroactivoPR/",
            "affiliation": "Y",
            "endpointDescription": "direccion",
            "affiliationName": "NEUROACTIVO INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "facebook",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direccion",
            "address_1": "1206 Calle 62 SE",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009213134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sujeil Acevedo
• Taira Acevedo
• Victor L Acevedo, DMD,MS
• Viviana Acevedo, DMD
• William Acevedo, M.D.
• Zaritza S. Acevedo, AUDIOLOGIST
• Achieve LLC
• Luis Andres Acosta Clas, MD
• Mario P. Acosta Duarte, M.D.
• Pablo Omar Acosta Garayua

• Physical Therapy Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.