Individual provider Active NPI

Nicolas Lopez Acevedo, M.D.

  • Colon & Rectal Surgery Physician
  • San Juan, PR
National Provider Identifier
1992953814
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
17900 Issued in PR
Practice address
400 Ave FD Roosevelt
Ste 202
San Juan, PR 00918-2129
Phone
(787) 724-9595
NPI assigned
Sep 4, 2008
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17900 PR
Colon & Rectal Surgery Physician 208C00000X 17900 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt
Ste 202
San Juan, PR 00918-2129

Mailing address

400 FD Roosevelt Ave. Clinica Las Americas
Suite 202
San Juan, PR 00918
Phone (787) 724-9595

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
I20150917002852 PR Practitioner - Colorectal Surgery (Proctology) 2163739400 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University Central del Caribe Escuela de Medicina, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PR 21 Int PR
18 Bo. Monacillos Urbano
San Juan, PR 00927
Phone 78777283005302

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy518
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Cancer de la Universidad Surgery CurrentSince Feb 20, 2021 Accepting new patients
Nla Endo Services LLC Colon & Rectal Surgery Current Accepting new patients
Centro de Cancer de la Universidad Past Accepting new patients

Locations

400 Ave Fd Roosevelt
Ste 202
San Juan, PR 00918
Phone (787) 237-0554

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1992953814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FD ROOSEVELT AVE. CLINICA LAS AMERICAS",
            "address_2": "SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-724-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "STE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-724-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ACEVEDO",
        "first_name": "NICOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "17900",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PR",
            "license": "17900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.