Individual provider Active NPI

Alexandra Maria Acevedo Guzman, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1912532011
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
710 Issued in PR
Practice address
504 Ave Hostos
San Juan, PR 00918-3231
Phone
(787) 525-5554
NPI assigned
Mar 9, 2020
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 710 PR Primary

Addresses

Primary practice location

504 Ave Hostos
San Juan, PR 00918-3231

Mailing address

C58 Calle Maracaibo
San Juan, PR 00926-2254
Phone (787) 525-5554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721002326 PR Practitioner - Chiropractic 7517385628 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
710PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Acevedo LLC Chiropractor CurrentSince May 14, 2024 Accepting new patients

Locations

504 Ave Hostos
San Juan, PR 00918
Phone (787) 525-5554

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, 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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1912532011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C58 CALLE MARACAIBO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262254",
            "telephone_number": "787-525-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183231",
            "telephone_number": "787-525-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO GUZMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.