| Organization Name: | CONSULTORIO MEDICO DR. JOSE A. ACEVEDO PSC |
| NPI Number: | 1053599175 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE ANGEL ACEVEDO (GENERAL PRACTICE) |
| Mailing Address: | Carr 107 # Km 2/7 Urb. Villa Haydee # 10 Aguadilla |
| State: | PR US |
| Postal Code: | 006035970 |
| Phone Number: | 7878915663 |
| Fax Number: | 7878915663 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 12380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |