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DR. MARIO P. ACOSTA DUARTE M.D.
NPI 1568416659
Emergency Medicine in San Juan, PR

Active since May 22, 2006PECOS Enrolled
B31 CALLE 4, URB. PASEO MAYOR, SAN JUAN, PR 00926(787) 748-1063 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mario P. Acosta Duarte M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO P. ACOSTA DUARTE M.D. (NPI 1568416659) is an individual emergency medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (5925) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568416659
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARIO P. ACOSTA DUARTECredential: M.D.
Location AddressB31 CALLE 4, URB. PASEO MAYORSan Juan, PR 00926
Mailing Address1935 Calle Julio Ruedas, Urb. Borinquen GardensSan Juan, PR 00926 · (787) 590-5344
Phone(787) 748-1063
Sole ProprietorYes
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 17, 2018
✔ NPI 1568416659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PR · 5925
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario P. Acosta Duarte M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mario Acosta Duarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro Medico Del Turabo Inc
Multi-Specialty
HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 428 clinicians in this Medicare group
NPI 1710107883 (787) 653-3434
Pediatrix Medical Group Of Puerto Rico, P.S.C
Emergency Medical Services
619 AVE SAN LUIS
Arecibo, PR 00612
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Pediatrix Medical Group Of Puerto Rico Psc
  • 33 clinicians in this Medicare group
NPI 1255319703 (787) 650-7273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00926 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Acosta Duarte's NPI number?

The NPI number for Mario Acosta Duarte is 1568416659. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Mario Acosta Duarte located?

Mario Acosta Duarte practices at B31 Calle 4 Urb. Paseo Mayor, San Juan, PR 00926. The listed phone number is (787) 748-1063.

What is Mario Acosta Duarte's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mario Acosta Duarte enrolled in Medicare?

Yes. Mario Acosta Duarte is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mario Acosta Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Acosta Duarte reassigns Medicare benefits to 2 organizations: Centro Medico Del Turabo Inc (Caguas, PR) and Pediatrix Medical Group Of Puerto Rico, P.S.C (Arecibo, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Acosta Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mario Acosta Duarte was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.