# LUIS A ACEVEDO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982676755
- **Authorized official:** LUIS ACEVEDO (PHARMACIST AND OWNER)
- **Authorized official phone:** (787) 782-1180

## Contact information

- **Practice address:** 50 CALLE BRAZIL STE 2, GARDENVILLE, GUAYNABO, PR 00966-2037
- **Practice address phone:** (787) 782-1180
- **Practice address fax:** (787) 782-2765
- **Mailing address:** BRASIL 50 SUITE 2, GARDENVILLE, GUAYNABO, PR 00966
- **Mailing address phone:** (787) 782-1180
- **Mailing address fax:** (787) 782-2765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 19F1412 | PR | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 04/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2082973 | PK | — |