Individual provider Active NPI

Maribel Acevedo, MD

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1699743864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14317 Issued in PR
Practice address
18 Ave Arbolote
Palmar del Rio Condominium Apartment A407
Guaynabo, PR 00969-5511
Phone
(787) 528-1828
NPI assigned
Mar 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14317 PR Primary

Addresses

Primary practice location

18 Ave Arbolote
Palmar del Rio Condominium Apartment A407
Guaynabo, PR 00969-5511

Mailing address

18 Arbolote Ave.
Palmar del Rio Cond. #336
Guaynabo, PUERTO RICO 00969
UM
Phone (787) 528-1828

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
I20040526001524 PR Practitioner - General Practice 2860473782 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Ararat, Inc. CurrentSince May 12, 2022 Accepting new patients
Centro Ararat Inc CurrentSince May 12, 2022 Accepting new patients

Locations

8169 Calle Concordia
Ste 412
Ponce, PR 00717
Phone (787) 284-5584

700 Calle Europa
Ste 305
San Juan, PR 00909
Phone (787) 497-0800

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699743864",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "18 ARBOLOTE AVE.",
            "address_2": "PALMAR DEL RIO COND. #336",
            "city": "GUAYNABO",
            "state": "PUERTO RICO",
            "postal_code": "00969",
            "telephone_number": "787-528-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 AVE ARBOLOTE",
            "address_2": "PALMAR DEL RIO CONDOMINIUM APARTMENT A407",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695511",
            "telephone_number": "787-528-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MARIBEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.