Individual provider Active NPI

Anibal Tornes Acosta, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1659326114
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15268 Issued in PR
Practice address
S Cuevas Bustamante 525
Parque Central
San Juan, PR 00918-2642
Phone
(787) 614-9285
Fax
(787) 765-7468
NPI assigned
May 23, 2006
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15268 PR Primary

Addresses

Primary practice location

S Cuevas Bustamante 525
Parque Central
San Juan, PR 00918-2642

Mailing address

525 Calle Cuevas Bustamante
San Juan, PR 00918-2642
Phone (787) 616-4674

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
I20040512000786 PR Practitioner - General Practice 8527057611 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15268PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Care Infusions Corp General Practice CurrentSince Dec 29, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1659326114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CALLE CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182642",
            "telephone_number": "787-616-4674",
            "fax_number": "787-772-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S CUEVAS BUSTAMANTE 525",
            "address_2": "PARQUE CENTRAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182642",
            "telephone_number": "787-614-9285",
            "fax_number": "787-765-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNES ACOSTA",
        "first_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.