Individual
ANGEL L ROSAS-ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CARRIAGE DR, BECKLEY, WV 25801-2876
(304) 252-0690
(304) 252-0646
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
16668
WV
2085R0202X
Diagnostic Radiology Physician
Primary
16668
WV
2085U0001X
Diagnostic Ultrasound Physician
16668
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092037000
—
WV
01
—
1718524
BLUE CROSS BLUE SHIELD
WV
01
—
2107367
UNITED HEALTH CARE
WV
05
—
55855
—
WV
05
—
70987
—
WV
Enumeration date
12/19/2006
Last updated
01/09/2025
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