Individual
DR. LUIS JAIME ACEVEDO-MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 107, KM 3.3, AGUADILLA, PR 00603-5970
(787) 882-6100
(787) 882-6100
Mailing address
PO BOX 250139, AGUADILLA, PR 00604-0139
(787) 882-6100
(787) 882-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14896
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100306W
MMM HEALTH CARE
PR
01
—
100866
CRUZ AZUL DE PR
PR
01
—
2011194
PREFERRED HEALTH
PR
01
—
22398AC
SSS
PR
01
—
6590071
HUMANA
PR
01
—
90002746
FAMILY CARE
PR
01
—
A776
FIRST MEDICAL HEALTH PLAN
PR
Enumeration date
03/30/2006
Last updated
11/09/2009
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