Individual provider · NPI-1

Dr. Jorge Acevedo Canabal, MD

General Practice · Aguadilla, PR

NPI number1013460617
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1013460617
Entity type
Individual (NPI-1)
Name
Dr. Jorge Acevedo Canabal
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 31, 2016
Last updated
Sep 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice21568PRYes

Practice location

115 Lighthouse Dr
Aguadilla, PR 00603-1327

Phone 787-403-5576

Mailing address

328 Calle 30
San Juan, PR 00927-5209

Phone 787-403-5576

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