Organization Active NPI

Alexandra Acevedo LLC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1982456471
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALEXANDRA ACEVEDO LLC
Practice address
504 Ave Hostos
San Juan, PR 00918-3231
Phone
(787) 525-5554
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Alexandra Maria Acevedo Guzman, DCNPI 1912532011
Title
Clinical Director
Phone
(787) 525-5554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 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

Other names 1

  • CONEXION QUIROPRACTICA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718005043 PR Part B Supplier - Clinic/Group Practice 6709322316 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1982456471",
    "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": {
        "organization_name": "ALEXANDRA ACEVEDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO GUZMAN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "787-525-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONEXION QUIROPRACTICA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CONEXION QUIROPRACTICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 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.