Individual provider · NPI-1

Dr. Jose Acevedo, M.D.

General Practice · Arecibo, PR

NPI number1336170950
StatusActive
Last updated in NPPESJul 15, 2015

Details

NPI
1336170950
Entity type
Individual (NPI-1)
Name
Dr. Jose Acevedo
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 5, 2006
Last updated
Jul 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice012050PRYes

Practice location

Carr. 638 K6 H0
Bo. Miraflores
Arecibo, PR 00612

Phone 787-816-1028 · Fax 787-816-1028

Mailing address

Po Box 2512
Arecibo, PR 00613-2512

Phone 787-816-1028 · Fax 787-816-1028

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