Rafael Acevedo Soto, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15912 Issued in PR

Practice address

Riefkhol #99
Patillas, PR 00723-0000

Phone

(787) 839-4320

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Federally Qualified Health Center (FQHC)
  • Patillas, PR
  • NPI 1275539728

  PR

  Medicare reassignment Care Compare group NPD
• Centro de Servicios Primarios de Salud de Patillas Inc.

  • Health Service Clinic/Center
  • Salinas, PR
  • NPI 1154070365
  NPD
• Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo

  • Federally Qualified Health Center (FQHC)
  • Maunabo, PR
  • NPI 1679981047
  NPD

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro Servicios Primarios de Salud de Patillas Inc. 20 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rafael.acevedo@cspsp.directbygreenway.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2012.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1619944667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CALLE ARTURO PASARELL",
            "address_2": "VILLA PRADES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242124",
            "telephone_number": "787-758-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIEFKHOL #99",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230000",
            "telephone_number": "787-839-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO SOTO",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Esther Acevedo, MD
• Wanda Alicea, LPN
• Damaris Alvira, RN
• Karina Vanessa Amill Colon, RN, BSN
• Amor RX Corp

• All providers in Patillas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.