Organization Active NPI

Acevedo Medical Center LLC

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1902159049
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16226 Issued in PR
Legal business name
ACEVEDO MEDICAL CENTER LLC
Practice address
Urb Constancia
2664 Las Americas
Ponce, PR 00717
Phone
(787) 812-6666
Fax
(787) 812-6666
NPI assigned
Oct 25, 2012
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Lorieva Acevedo Negron, M.D.
Title
Presidenta
Phone
(787) 812-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
General Practice Physician 208D00000X 16226 PR Primary

Addresses

Primary practice location

Urb Constancia
2664 Las Americas
Ponce, PR 00717

Mailing address

Urb Valle Verde
2009 Calle Caudal
Ponce, PR 00716
Phone (787) 812-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130821000422 PR Part B Supplier - Clinic/Group Practice 3274776307 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

2956 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 569-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1902159049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VALLE VERDE",
            "address_2": "2009 CALLE CAUDAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-6666",
            "fax_number": "787-812-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB CONSTANCIA",
            "address_2": "2664 LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-812-6666",
            "fax_number": "787-812-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEVEDO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO NEGRON",
        "authorized_official_first_name": "LORIEVA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-812-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.