NPIMap

Organization Active NPI

Luis a Acevedo

  • Community/Retail Pharmacy
  • Guaynabo, PR
National Provider Identifier
1982676755
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19F1412 Issued in PR
Legal business name
LUIS A ACEVEDO
Practice address
50 Calle Brazil Ste 2
Gardenville
Guaynabo, PR 00966-2037
Phone
(787) 782-1180
Fax
(787) 782-2765
NPI assigned
Feb 6, 2006
Last updated
Apr 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Luis AcevedoNPI 1790831626
Title
Pharmacist and Owner
Phone
(787) 782-1180

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 19F1412 PR Primary

Addresses

Primary practice location

50 Calle Brazil Ste 2
Gardenville
Guaynabo, PR 00966-2037

Mailing address

Brasil 50 Suite 2
Gardenville
Guaynabo, PR 00966
Phone (787) 782-1180

Other identifiers 1

IdentifierTypeStateIssuer
2082973OtherPK

National Provider Directory

National Provider Directory

Locations

50 Calle Brazil
Ste 2
Guaynabo, PR 00966
Phone (787) 782-1180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1982676755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRASIL 50 SUITE 2",
            "address_2": "GARDENVILLE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-782-1180",
            "fax_number": "787-782-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALLE BRAZIL STE 2",
            "address_2": "GARDENVILLE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662037",
            "telephone_number": "787-782-1180",
            "fax_number": "787-782-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A ACEVEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "787-782-1180"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "19F1412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.