Individual provider Active NPI

Ivonne Velez Acevedo, M.D.

  • Emergency Medicine Physician
  • Carolina, PR
National Provider Identifier
1972707248
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18451 Issued in PR
Practice address
116-2 Calle 74
Carolina, PR 00985-4117
Phone
(787) 762-6532
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52396 MN
Emergency Medicine Physician 207P00000X 18451 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X 11443 PR

Addresses

Primary practice location

116-2 Calle 74
Carolina, PR 00985-4117

Mailing address

Corrientes Co-40 Calle Rio Grande
Trujillo Alto, PR 00976-6194
Phone (787) 200-6884

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
P00898121OtherMNMEDICARE, RAILROAD

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
I20121005000547 PR Practitioner - Emergency Medicine 5092853531 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Aug 5, 2012 Accepting new patients
Centro Medico del Turabo Inc Current Accepting new patients
Bella Vista Hospital Inc CurrentSince Aug 5, 2012 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1972707248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORRIENTES CO-40 CALLE RIO GRANDE",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766194",
            "telephone_number": "787-200-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116-2 CALLE 74",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854117",
            "telephone_number": "787-762-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ ACEVEDO",
        "first_name": "IVONNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "52396",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "18451",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "11443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "P00898121",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.