Individual
JORGE LUIS ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
CARRETERA 129, KM 21.8 BO.CALLEJONES, LARES, PR 00669
(787) 897-3945
(787) 897-3945
Mailing address
PO BOX 543, LARES, PR 00669-0543
(787) 897-4159
(787) 897-3945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3363
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3363
PHARMACIST LICENCE
PR
Enumeration date
04/20/2007
Last updated
07/08/2007
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