Individual
JESSED OMAR ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
261 CALLE SAN NARCISO, AGUADA, PR 00602-2924
(787) 658-0200
Mailing address
261 CALLE SAN NARCISO, AGUADA, PR 00602-2924
(939) 299-0113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19696
PR
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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