| Organization Name: | DR. CARLOS ACEVEDO REGO, C.S.P. |
| NPI Number: | 1306260948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS M ACEVEDO (PRESIDENT) |
| Mailing Address: | 34 Calle Duque Guayama |
| State: | PR US |
| Postal Code: | 007845506 |
| Phone Number: | 7878648594 |
| Fax Number: | 7878648574 |
| NPI Enumeration Date: | 02/18/2014 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |