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NPI Code Detail

MEDICARE: SONIA M ACEVEDO ESPINOZA MD

MEDICARE: SONIA M ACEVEDO ESPINOZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician49830020WI
2207Q00000XFamily Medicine Physician01086313AIN
3207Q00000XFamily Medicine Physician2010032296MO

General Provider Information

NPI Number : 1720019268
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA M ACEVEDO ESPINOZA MD
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 6002 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-5614
Country : US
Telephone Number : 317-880-6002
Fax Number : 317-880-0417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/08/2026

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Directions to “ SONIA M ACEVEDO ESPINOZA MD” Practice Location

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