Individual
DR. VICTOR L ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
864
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040376
CRUZ AZUL DE PR
PR
01
—
42261
TRIPLE S, INC
PR
01
—
8817007
UNITED CONCORDIA
PR
Enumeration date
09/07/2006
Last updated
07/08/2007
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