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General NPI Number Information
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NPI Number | 1477128999
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Entity Type | Individual
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Provider Name | LUIS ANTONIO ACEVEDO MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | CARR 459 KM 8.3 BO. MONTANA
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-673-4392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | SAN ANTONIO
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State | PR
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Zip | 00690-0511
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Country | US
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Telephone | 787-673-4392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24342
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License Number State | PR
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