Individual
DR. JUAN ANTONIO ACEVEDO LOPEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 CALLE BETANCES, SAN SEBASTIAN, PR 00685-2320
(787) 896-1280
(787) 896-1280
Mailing address
16 CALLE BETANCES, P.O. BOX 2077, SAN SEBASTIAN, PR 00685-2320
(787) 896-1280
(787) 896-1280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
784
PR
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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