ACEBO URGENT CARE,LLC — NPI 1063649077 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in DORAL, FL)

CMS-1500 Box 24J / 33a • NPI

1063649077

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QU0200X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

9851 NW 58TH ST, SUITE # 125, DORAL, FL, 33178-2716

✓ 9-Digit EDI 837 ZIP+4 (33178-2716)

Practice Phone & Referral Fax

(305) 403-1035

Fax: (305) 403-1036

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063649077 (ACEBO URGENT CARE,LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063649077` (NPI-2 Organization / Facility)
Provider / Legal Name	ACEBO URGENT CARE,LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QU0200X` (Clinic/Center, Urgent Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	9851 NW 58TH ST, SUITE # 125, DORAL, FL, 33178-2716
Practice Telephone / Fax	Tel: (305) 403-1035 \| Fax: (305) 403-1036
Administrative Mailing Address	9851 NW 58TH ST, DORAL, FL, 33178-2716
Enumeration & Last Sync	Enumerated: 2009-06-17 \| CMS Record Updated: 2009-06-17
Authorized Official	WALDO ACEBO (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9851 NW 58TH ST, SUITE # 125, DORAL, FL, 33178-2716

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Plain-English Taxonomy & CMS Crosswalk (261QU0200X)

What Does Taxonomy Code 261QU0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QU0200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACEBO URGENT CARE,LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QU0200X` — Clinic/Center, Urgent Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: FL \| License: `ME 81372` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACEBO URGENT CARE,LLC (NPI #1063649077)