Healthcare Provider Details

I. General information

NPI: 1003602954
Provider Name (Legal Business Name): CARLOS GERARDO GUZMAN ACEVEDO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 EDIFICIO MEDICO SANTA CRUZ CALLE SANTA CRUZ SUITE 101
BAYAMON PR
00961-6911
US

IV. Provider business mailing address

73 EDIFICIO MEDICO SANTA CRUZ CALLE SANTA CRUZ SUITE 101
BAYAMON PR
00961-6911
US

V. Phone/Fax

Practice location:
  • Phone: 787-798-4646
  • Fax: 787-288-8111
Mailing address:
  • Phone: 787-798-4646
  • Fax: 787-288-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8383
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: