Individual
JOSE M ACEVEDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 140 KM 38.8, BARRIO MAMEYES, UTUADO, PR 00641
(939) 276-8359
Mailing address
3623 AV MILITAR PMB 427, ISABELA, PR 00662
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21362
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
21362
PR
Other
Enumeration date
07/14/2017
Last updated
06/21/2024
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