Dr Rafael Soto Acevedo, MD - Medicare Pediatrics in Ponce, PR

Dr Rafael Soto Acevedo, MD is a medicare enrolled "Pediatrics" physician in Ponce, Puerto Rico. His current practice location is 2431 Blvd Luis A Ferre, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 234-5386.

Dr Rafael Soto Acevedo is licensed to practice in Puerto Rico (license number 12719) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114995776.

Contact Information

Dr Rafael Soto Acevedo, MD
2431 Blvd Luis A Ferre,
Ponce, PR 00717-2113
(787) 234-5386
Not Available

Map and Direction




Physician's Profile

Full NameDr Rafael Soto Acevedo
GenderMale
SpecialityPediatrics
Location2431 Blvd Luis A Ferre, Ponce, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114995776
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 08/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668431446
  • Enrollment ID: I20041007000274

Medical Identifiers

Medical identifiers for Dr Rafael Soto Acevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114995776NPI-NPPES
061125OtherPRCRUZ AZUL DE PUERTO RICO
PE3846OtherPRPALIC
203492OtherPRPREFERRED HEALTH
660564409OtherPRCIGNA
7310338OtherPRHUMANA
1898OtherPRAMERICAN HEALTH
90243OtherPRTRIPLE SSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 12719 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael Soto Acevedo allows following entities to bill medicare on his behalf.
Entity NameRs Centro Medicina Avanzada, Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346214129
PECOS PAC ID: 4082661376
Enrollment ID: O20050408000055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael Soto Acevedo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rafael Soto Acevedo, MD
2431 Ave Las Americas, Edificio Porrata Pila Suite 102,
Ponce, PR 00717-2113

Ph: (787) 812-2085
Dr Rafael Soto Acevedo, MD
2431 Blvd Luis A Ferre,
Ponce, PR 00717-2113

Ph: (787) 234-5386

Reviews and Comments


Pediatrics Doctors in Ponce, PR

Mr. Eliot M Fernandez, MD
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Dargee Emid Guevarez, M.D.
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Phone: 787-284-3724    Fax: 787-284-3724
Miss Carmen E Sanchez, MD
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Medicare: Not Enrolled in Medicare
Practice Location: Urb Industrial Reparada Calle Ana D Perez Marchand, Ponce School Of Medicine, Ponce, PR 00732
Phone: 787-840-0052    Fax: 787-840-2317
Mr. Jose Angel Lizasoain, MD
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Medicare: Medicare Enrolled
Practice Location: Mayor St 2651, Dr Jose A Lizasogin Office, Ponce, PR 00717
Phone: 787-840-8383    Fax: 787-840-1582

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.