Organization Active NPI

Eliud Acevedo MD P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1609881044
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J2437 Issued in TX
Legal business name
ELIUD ACEVEDO MD P.L.L.C.
Practice address
1405 Jacaman Rd
Ste. 101
Laredo, TX 78041-6194
Phone
(956) 725-1777
Fax
(956) 725-6510
NPI assigned
Jul 31, 2006
Last updated
Feb 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Eliud Perez, MD
Title
Provider/Doctor
Phone
(956) 725-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J2437 TX Primary

Addresses

Primary practice location

1405 Jacaman Rd
Ste. 101
Laredo, TX 78041-6194

Mailing address

1405 Jacaman Rd
Ste. 101
Laredo, TX 78041-6194
Phone (956) 725-1777

Other identifiers 2

IdentifierTypeStateIssuer
0038PZOtherTXBLUE CROSS & BLUE SHIELD
1689960-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001548 TX Part B Supplier - Clinic/Group Practice 7012987696 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0867843Eliud Acevedo MD1405 Jacaman Road, Suite 101, Laredo, TX 78041Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

1405 Jacaman Rd
Ste 101
Laredo, TX 78041
Phone (956) 725-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1609881044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD",
            "address_2": "STE. 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416194",
            "telephone_number": "956-725-1777",
            "fax_number": "956-725-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD",
            "address_2": "STE. 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416194",
            "telephone_number": "956-725-1777",
            "fax_number": "956-725-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIUD ACEVEDO MD P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIUD",
        "authorized_official_title_or_position": "PROVIDER/DOCTOR",
        "authorized_official_telephone_number": "956-725-1777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J2437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0038PZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689960-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.