Individual provider Active NPI

Nelvin Acevedo-Valle, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1891401253
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24240 Issued in PR
Practice address
Urb Rollin Hills Calle Estados Unidos
F190 Segundo Piso
Carolina, PR 00986
Phone
(939) 224-5667
NPI assigned
Jan 27, 2023
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR
General Practice Physician 208D00000X 24240 PR Primary

Addresses

Primary practice location

Urb Rollin Hills Calle Estados Unidos
F190 Segundo Piso
Carolina, PR 00986

Mailing address

Urb Rollin Hills Calle Estados Unidos
F190 Segundo Piso
Carolina, PR 00986
Phone (939) 224-5667

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
I20250523002635 PR Practitioner - General Practice 4587183389 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carolina, PR 00987
Phone (939) 224-5667

Urb Rolling Hills
Calle Estados Unidos F190 Segundo Piso
Carolina, PR 00987

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24240PRMDGeneral Practice Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1891401253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ROLLIN HILLS CALLE ESTADOS UNIDOS",
            "address_2": "F190 SEGUNDO PISO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "939-224-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ROLLIN HILLS CALLE ESTADOS UNIDOS",
            "address_2": "F190 SEGUNDO PISO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "939-224-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO-VALLE",
        "first_name": "NELVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.