Individual provider Active NPI

Melvin Enrique Ortiz-Acevedo, MD

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1972908259
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18997 Issued in PR
Practice address
57 Calle Font Martelo W
Humacao, PR 00791-3615
Phone
(787) 852-1770
Fax
(787) 266-7300
NPI assigned
Oct 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 18997 PR Primary

Addresses

Primary practice location

57 Calle Font Martelo W
Humacao, PR 00791-3615

Mailing address

PO Box 8901
Humacao, PR 00792-8901
Phone (787) 852-1770

Other practice location 1

Carr 189 km 2.8
Caguas, PR 00725
Phone (787) 961-0199

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address optimalmedicalservices@outlook.com Direct

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
I20150402000975 PR Practitioner - General Practice 7416274352 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Masferrer Berrios No
Suite 7
Humacao, PR 00791-4214
Phone (787) 961-0199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18997PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Feb 1, 2015 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Feb 1, 2015 Accepting new patients

Locations

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

3 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 656-2427

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1972908259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8901",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928901",
            "telephone_number": "787-852-1770",
            "fax_number": "787-266-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE FONT MARTELO W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913615",
            "telephone_number": "787-852-1770",
            "fax_number": "787-266-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 189 km 2.8",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-961-0199",
            "fax_number": "787-266-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ-ACEVEDO",
        "first_name": "MELVIN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "optimalmedicalservices@outlook.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "55 Calle Font Martelo W",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007913616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.