Healthcare Provider Details

I. General information

NPI: 1043708324
Provider Name (Legal Business Name): ADRIAN ACEVES-HURTADO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. ADRIAN HURTADO ACEVES

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8960 BROWN DR BLDG 39 4TH FLOOR
BETHESDA MD
20889-5629
US

IV. Provider business mailing address

8960 BROWN DR BLDG 39 4TH FLOOR
BETHESDA MD
20889-5629
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-6400
  • Fax: 301-319-2172
Mailing address:
  • Phone: 301-295-6400
  • Fax: 301-319-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number20A17565
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A17565
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number20A17565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: