Individual
DR. ANGEL ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 CALLE 1, URB. PASEO LAS VISTAS, SAN JUAN, PR 00926
(787) 293-2886
(787) 293-2886
Mailing address
107 CALLE 1, PASEO LAS VISTAS, SAN JUAN, PR 00926-5101
(787) 293-2886
(787) 293-2886
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10520
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21715
SSS
PR
01
—
300132
MEDICARE Y MUCHO MAS
PR
01
—
3310
PREFERRED MEDICAL CHOICE
PR
01
—
9090182
9090182
PR
01
—
MCS
MEDICAL CARD SYSTEM
PR
Enumeration date
10/20/2005
Last updated
07/08/2007
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