Individual
DR. JORGE ACEVEDO CANABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 LIGHTHOUSE DR, AGUADILLA, PR 00603-1327
(787) 403-5576
Mailing address
328 CALLE 30, SAN JUAN, PR 00927-5209
(787) 403-5576
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21568
PR
Other
Enumeration date
07/31/2016
Last updated
09/17/2019
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