Juan Antonio Acevedo Lopez Sr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

784 Issued in PR

Practice address

16 Calle Betances
San Sebastian, PR 00685-2320

Phone

(787) 896-1280

Fax

(787) 896-1280

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366416059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CALLE BETANCES",
            "address_2": "P.O. BOX 2077",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852320",
            "telephone_number": "787-896-1280",
            "fax_number": "787-896-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE BETANCES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852320",
            "telephone_number": "787-896-1280",
            "fax_number": "787-896-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO LOPEZ",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Tiempo, LLC
• Bedzaida Acevedo Lopez, PHARMACY TECHNICIAN
• Camille Acevedo Rosa, 16698
• Luis Acevedo
• Migdalia Acevedo
• Advance Digital Image, Corp
• Advance Emergency Care System Corp

• All providers in San Sebastian, PR
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.