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

LicenseStateTypeSpecialty
7725PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2017.

{
    "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

All providers in Moca, PR · Pharmacy Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.