Individual provider Active NPI

Salvador Acevedo Jr., PA

  • Physician Assistant
  • Raymondville, TX
National Provider Identifier
1912630328
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17659 Issued in TX
Practice address
165 S 6TH St
Raymondville, TX 78580-3521
Phone
(956) 689-5506
Fax
(956) 689-1988
NPI assigned
Jul 4, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17659 TX Primary

Addresses

Primary practice location

165 S 6TH St
Raymondville, TX 78580-3521

Mailing address

165 S 6TH St
Raymondville, TX 78580-3521
Phone (956) 398-7088

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-5047

Other practice location 2

3302 Boca Chica Blvd
Brownsville, TX 78521-5193
Phone (956) 982-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516000511 TX Practitioner - Physician Assistant 7517308976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C.L. Anderson, Jr., M.D., PLLCGroup PAC ID 9830142157, 13 clinicians

Practice addresses (Care Compare)

1214 Dixieland Rd
Suite 8
Harlingen, TX 78552-3314
Phone (956) 440-7236

1755 W Price Rd
Brownsville, TX 78520-8602
Phone (956) 546-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albert L Smith, M. D.PA CurrentSince Mar 1, 2024 Accepting new patients
Stephen Robinson MD PA Current Accepting new patients
Isaac Ornelas Past Accepting new patients

Locations

165 S 6th St
Raymondville, TX 78580
Phone (956) 398-7088

Organizations & group practices 5

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": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1912630328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-398-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "956-665-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3302 Boca Chica Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785215193",
            "country_code": "US",
            "telephone_number": "956-982-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "SALVADOR",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

Verify at the official NPI Registry.