Individual
DR. VICTOR L ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
LOS FLAMBOYANES SHOPPING CTR, OF.12, 65TH DE INFANTERIA, SAN JUAN, PR 00923-3306
(787) 758-1560
(787) 758-1513
Mailing address
LOS FLAMBOYANES SHOPPING CTR, OF.12, 65TH DE INFANTERIA, SAN JUAN, PR 00923-3306
(787) 758-1560
(787) 758-1513
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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