Yaret S Roldan Acevedo

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22001 Issued in PR

Practice address

15 Calle Dr Basora N
Mayaguez, PR 00680-4833

Phone

(787) 675-3990

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Practice roles

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.

• Aguadilla Medical Services, Inc.

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1588637789
  Medicare reassignment NPD
• Integrate Community Health System

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Ramey Medical Group PSC

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1326382052

  General Practice

  Medicare reassignment NPD
• Aguadilla Medical Services, Inc

  • Radiology Clinic/Center
  • Aguadilla, PR
  • NPI 1902210800
  NPD
• Aguadilla Medical Services, Inc.

  • Pharmacy
  • Aguadilla, PR
  • NPI 1043494925
  NPD
• Aguadilla Medical Services, Inc.

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1598929556
  NPD
• Integrate Community Health System

  • Internal Medicine Physician
  • Caguas, PR
  • NPI 1780806174

  General Practice

  NPD
• Integrate Community Health System, Inc.

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1801402367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 4446",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028611",
            "telephone_number": "787-675-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE DR BASORA N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804833",
            "telephone_number": "787-675-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN ACEVEDO",
        "first_name": "YARET",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mayaguez",
            "affiliation": "N",
            "address_1": "15 Calle Dr Basora N",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006804833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yomayra Puerto Rodriguez
• Zulmarie Rodriguez, PSY.D.
• Ariel A Rojas, MD
• Mariana Del Carmen Rolan Otero, MD
• Rolaradox Western Pediatric Services, Inc.
• Millicent Roldan, SOCIAL WORKER
• Christian Rolon, MD.
• Roma OBGYN Services, P.S.C.
• Laura Cristina Romaguera
• William R Roman Aqueron, M.D.

• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.