Healthcare Provider Details

I. General information

NPI: 1427325034
Provider Name (Legal Business Name): JOSUE DAVID ACEVEDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2011
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH ST
MIAMI FL
33125-1673
US

IV. Provider business mailing address

1321 NW 14TH ST
MIAMI FL
33125-1673
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3000
  • Fax: 305-689-3928
Mailing address:
  • Phone: 305-243-3000
  • Fax: 305-689-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036150562
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number178006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: