Individual provider · NPI-1

Carlos Omar Acevedo Arus

Family Medicine · Beech Grove, IN

NPI number1508313701

StatusActive

Last updated in NPPESJul 19, 2023

Details

NPI: 1508313701
Entity type: Individual (NPI-1)
Name: Carlos Omar Acevedo Arus
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 6, 2016
Certification date: Jul 19, 2023
Last updated: Jul 19, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	01089473A	IN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	4956520	PR

Other names

Carlos Omar Acevedo (Other Name)

Practice location

2030 Churchman Ave
Beech Grove, IN 46107-1044

Phone 317-786-9285 · Fax 317-781-2793

Mailing address

Po Box 781076 College Park
Detroit, MI 48278-0001

Phone 317-528-4800 · Fax 317-865-1479

Other practice locations

216 Calle Viena
San Juan, PR 00921-4804

Phone 787-647-4605 · Fax 787-963-0464

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