Individual
JOSE M ACEVEDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
W5710
TX
208D00000X
General Practice Physician
21362
PR
390200000X
Student in an Organized Health Care Education/Training Program
21362
PR
Other
Enumeration date
07/14/2017
Last updated
08/18/2026
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