Edwin Lemuel Acevedo Soto, MS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Moca, PR

NPI 1104719921 · NPPES record last updated May 30, 2025

Key facts

NPI
1104719921
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
HC 1 Box 6415
Moca, PR 00676-9607
Phone
(787) 204-9424
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

HC 1 Box 6415
Moca, PR 00676-9607

Mailing address

HC 1 Box 6415
Moca, PR 00676-9607
Phone (787) 204-9424

Other providers in Moca, PR

All providers in Moca, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico

Sources for this page

Verify at the official NPI Registry.