Healthcare Provider Details

I. General information

NPI: 1619014727
Provider Name (Legal Business Name): STEVEN J ACEVEDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 E 32ND ST
AUSTIN TX
78705-2707
US

IV. Provider business mailing address

5430 FREDERICKSBURG RD STE 508
SAN ANTONIO TX
78229-3561
US

V. Phone/Fax

Practice location:
  • Phone: 512-500-5511
  • Fax:
Mailing address:
  • Phone: 210-541-8281
  • Fax: 210-541-9123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS5819
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberS5819
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: