Individual provider Active NPI

Gabriel Altieri Acevedo, M.D.

  • Anesthesiology Physician
  • San German, PR
National Provider Identifier
1619426384
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21746 Issued in PR
Practice address
Carr #2 KM 173.4 Bo Cain Alto
San German, PR 00683-0000
Phone
(787) 368-1816
Fax
(787) 892-4500
NPI assigned
Sep 22, 2016
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21746 PR Primary

Addresses

Primary practice location

Carr #2 KM 173.4 Bo Cain Alto
San German, PR 00683-0000

Mailing address

Urb Haciendas de Miramar
246 Calle Miramar
Cabo Rojo, PR 00623-0000
Phone (787) 368-1816

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
I20240305002694 PR Practitioner - Anesthesiology 5395180954 Reassigns benefits to 1 organization
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
1 Bo. Cain Alto
San German, PR 00683
Phone (787) 368-1816

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21746PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Anestesiologia Las Lomas Inc Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Hospital Universitario de Adultos Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1619426384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDAS DE MIRAMAR",
            "address_2": "246 CALLE MIRAMAR",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230000",
            "telephone_number": "787-368-1816",
            "fax_number": "787-892-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 173.4 BO CAIN ALTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830000",
            "telephone_number": "787-368-1816",
            "fax_number": "787-892-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI ACEVEDO",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "21746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.