Innova Health Clinic LLC
Organization Active NPI General Practice Physician · Moca, PR
NPI 1992501514 · NPPES record last updated Aug 20, 2025
Key facts
- NPI
- 1992501514
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- INNOVA HEALTH CLINIC LLC
- Practice address
- Carr. 110 KM 10.7
Bo. Pueblo
Moca, PR 00676 - Phone
- (787) 291-3742
- Fax
- (787) 291-3742
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Hector Manuel Acevedo Caban, MD
- Title
- President
- Phone
- (787) 291-3742
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250421000689 | PR | Part B Supplier - Clinic/Group Practice | 0648795898 |
Receives reassigned benefits from 1 practitioner Practice locations: Moca, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
Carr. 110 KM 10.7
Bo. Pueblo
Moca, PR 00676
Mailing address
PO Box 303
Moca, PR 00676-0303
Phone (787) 291-3742
Other names
- INNOVA HEALTH CLINIC
Other providers in Moca, PR
- Mario Alexis Hilerio Ramos
- Hospital San Carlos Incorporado
- Suly Dairay Illas Mendez
- Illiad E Hernandez Lopez
- Imeca , Inc
- Innovations Psychotherapeutic Group, PSC
- Innovative Health Care LLC
- Instituto Gineco-Obstetrico del Noroeste
- Olga L Irizarry
- Jensen J Feliciano-Muniz
All providers in Moca, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.