Individual provider Active NPI

Carlos M Acevedo Rego, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1902824154
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12106 Issued in PR
Practice address
#34 Duque Street
Guayama, PR 00784
Phone
(787) 864-8594
Fax
(787) 864-8574
NPI assigned
Jul 17, 2006
Last updated
Jan 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12106 PR Primary

Addresses

Primary practice location

#34 Duque Street
Guayama, PR 00784

Mailing address

PO Box 7061
Ponce, PR 00732-7061
Phone (954) 610-8707

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
I20130211000382 PR Practitioner - General Practice 0749434264 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Duque 34 Sur
Guayama, PR 00784
Phone (787) 864-8594

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duque Medical Services, LLC General Practice CurrentSince Nov 7, 2025 Accepting new patients
Dr. Carlos Acevedo Rego, C.S.P. General Practice Past Accepting new patients

Locations

34 Calle Duque
Guayama, PR 00784
Phone (787) 864-8594

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1902824154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7061",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327061",
            "telephone_number": "954-610-8707",
            "fax_number": "787-864-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#34 DUQUE STREET",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-8594",
            "fax_number": "787-864-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO REGO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.