Individual provider Active NPI

Luz M Acevedo-Vargas, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Carolina, PR
National Provider Identifier
1730176595
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
8710 Issued in PR
Practice address
D22 Calle Yunquesito
Urb Lomas de Carolina
Carolina, PR 00987-8008
Phone
(787) 757-6545
Fax
(787) 757-7820
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 8710 PR Primary

Addresses

Primary practice location

D22 Calle Yunquesito
Urb Lomas de Carolina
Carolina, PR 00987-8008

Mailing address

265A Calle 20
Urb Ponce de Leon
Guaynabo, PR 00969-4447
Phone (787) 757-6545

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
I20101202001155 PR Practitioner - Geriatric Medicine 4880881895 Practice locations: Carolina, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1730176595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265A CALLE 20",
            "address_2": "URB PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694447",
            "telephone_number": "787-757-6545",
            "fax_number": "787-757-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D22 CALLE YUNQUESITO",
            "address_2": "URB LOMAS DE CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878008",
            "telephone_number": "787-757-6545",
            "fax_number": "787-757-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO-VARGAS",
        "first_name": "LUZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "8710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.