YARET S ROLDAN ACEVEDO
NPI 1801402367
General Practice in Mayaguez, PR

Active since September 21, 2020PECOS Enrolled
15 CALLE DR BASORA N, MAYAGUEZ, PR 00680(787) 675-3990 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Yaret S Roldan Acevedo NPPES

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

YARET S ROLDAN ACEVEDO (NPI 1801402367) is an individual general practice provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (22001) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801402367
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameYARET S ROLDAN ACEVEDO
Location Address15 CALLE DR BASORA NMayaguez, PR 00680-4833
Mailing AddressHc 56 Box 4446Aguada, PR 00602-8611 · (787) 675-0990
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1801402367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 22001
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yaret S Roldan Acevedo 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

3

Medicare enrollment records show Yaret Roldan Acevedo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2 AVE VICTORIA
Aguadilla, PR 00603
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 26 clinicians in this Medicare group
Internal Medicine
4 CALLE GARCIA, URB SANTA CRUZ
Bayamon, PR 00956
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 52 clinicians in this Medicare group
Clinic/Center
PASEO DEL PARQUE NUMERO 20
Aguadilla, PR 00603
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 6 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
General Practice
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
General Practice
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
Surgery
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
Internal Medicine (Infectious Disease)
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
Anesthesiology
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
Anesthesiology
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680
General Practice
15 CALLE DR BASORA N
MAYAGUEZ, PR 00680

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 Yaret Roldan Acevedo's NPI number?

The NPI number for Yaret Roldan Acevedo is 1801402367. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Yaret Roldan Acevedo located?

Yaret Roldan Acevedo practices at 15 Calle Dr Basora N, Mayaguez, PR 00680. The listed phone number is (787) 675-3990.

What is Yaret Roldan Acevedo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Yaret Roldan Acevedo enrolled in Medicare?

Yes. Yaret Roldan Acevedo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yaret Roldan Acevedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaret Roldan Acevedo reassigns Medicare benefits to 3 organizations: Aguadilla Medical Services, Inc. (Aguadilla, PR), Integrate Community Health System (Bayamon, PR) and Ramey Medical Group Psc (Aguadilla, 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 Yaret Roldan Acevedo'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 Yaret Roldan Acevedo was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.