Javier Acevedo Rodriguez, 1292P
Individual provider Active NPI Paramedic · Utuado, PR
NPI 1396958112 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1396958112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 1292P (PR)
- Practice address
- Carr 111 KM 12
Bo Caguana
Utuado, PR 00641-1740 - Phone
- (939) 272-7164
- Fax
- (787) 898-7094
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1292P | PR | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 1292P | PR | Yes |
Addresses
Primary practice location
Carr 111 KM 12
Bo Caguana
Utuado, PR 00641-1740
Mailing address
PO Box 1740
Utuado, PR 00641-1740
Phone (939) 272-7164
Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.