Individual provider Active NPI

Iris A Acevedo-Marty, M.D.

  • Neurology Physician
  • Aguadilla, PR
National Provider Identifier
1679677041
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12989 Issued in PR
Practice address
106 Ave Severiano Cuevas
Aguadilla, PR 00603-5769
Phone
(787) 882-1779
Fax
(787) 891-2764
NPI assigned
Sep 7, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 12989 PR Primary

Addresses

Primary practice location

106 Ave Severiano Cuevas
Aguadilla, PR 00603-5769

Mailing address

PO Box 4042
Aguadilla, PR 00605-4042
Phone (787) 882-1779

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
I20031103000465 PR Practitioner - Neurology 8123930765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Ave Severiano Cuevas
Aguadilla, PR 00603-5769
Phone (787) 882-1779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12989PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dra-Iris a Acevedo Marty P S C Neurology CurrentSince Sep 19, 2003 Accepting new patients
Centro Medico del Turabo Inc PastSince Sep 19, 2003 Accepting new patients

Locations

106 Ave Severiano Cuevas
Aguadilla, PR 00603
Phone (787) 882-1779

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1679677041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4042",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054042",
            "telephone_number": "787-882-1779",
            "fax_number": "787-882-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AVE SEVERIANO CUEVAS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035769",
            "telephone_number": "787-882-1779",
            "fax_number": "787-891-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO-MARTY",
        "first_name": "IRIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "12989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.