Rey Acevedo
Individual provider Active NPI Pharmacy Technician · Moca, PR
NPI 1578098174 · NPPES record last updated Apr 21, 2017
Key facts
- NPI
- 1578098174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 7725 (PR)
- Practice address
- HC 3 Box 9017
Moca, PR 00676-0598 - Phone
- (787) 546-5966
- Fax
- (787) 877-5923
- NPI assigned
- Apr 21, 2017
- 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 |
|---|---|---|---|
| 7725 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 7725 | PR | Yes |
Addresses
Primary practice location
HC 3 Box 9017
Moca, PR 00676-0598
Mailing address
Carr 464 KM 3.0 Int
Bo Aceitunas
Moca, PR 00676-0598
Phone (787) 546-5966
NPI Registry JSON
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1578098174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 464 KM 3.0 INT",
"address_2": "BO ACEITUNAS",
"city": "MOCA",
"state": "PR",
"postal_code": "006760598",
"telephone_number": "787-546-5966",
"fax_number": "787-877-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 3 BOX 9017",
"city": "MOCA",
"state": "PR",
"postal_code": "006760598",
"telephone_number": "787-546-5966",
"fax_number": "787-877-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "REY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "7725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
- Lisaida Acevedo Perez
- Edwin Lemuel Acevedo Soto
- Elba I Acevedo
- Grisel Enid Acevedo
- Luis Angel Acevedo
- Advance Anesthesia Service
- Advanced Dental Service
- Yelianne Mari Afanador Gonzalez
- Aiza Y Perez Caban
- Angel Alequin
All providers in Moca, PR · Pharmacy Technician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2017. 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.