Individual provider Active NPI

Aracelis Acevedo

  • Pharmacy Technician
  • Aguada, PR
National Provider Identifier
1821768615
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
008062 Issued in PR
Practice address
90 Calle Colon
Aguada, PR 00602-3105
Phone
(787) 868-2300
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 008062 PR Primary

Addresses

Primary practice location

90 Calle Colon
Aguada, PR 00602-3105

Mailing address

90 Calle Colon
Aguada, PR 00602-3105
Phone (787) 868-2300

Other identifiers 1

IdentifierTypeStateIssuer
008062MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 90COLONAGUADAPR0060 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008062PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Farmacia LLC CurrentSince Dec 12, 2021 Accepting new patients

Locations

90 Calle Colon
Aguada, PR 00602
Phone (787) 868-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1821768615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023105",
            "telephone_number": "787-868-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023105",
            "telephone_number": "787-868-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "ARACELIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "008062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "90COLONAGUADAPR0060",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "AGUADA",
            "address_1": "90 Calle Colon",
            "city": "Aguada",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006023105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.