Healthcare Provider Details

I. General information

NPI: 1548991268
Provider Name (Legal Business Name): ISAAC SOLANO ACEVEDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 4055
AGUADILLA PR
00605-4055
US

IV. Provider business mailing address

HC 1 BOX 15735
AGUADILLA PR
00603-9260
US

V. Phone/Fax

Practice location:
  • Phone: 787-658-0000
  • Fax: 787-819-0805
Mailing address:
  • Phone: 520-465-2434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24181
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: