Luis Angel Acevedo, ED. D.

Individual provider Active NPI Professional Counselor · Moca, PR

NPI 1992568844 · NPPES record last updated Feb 3, 2024

Key facts

NPI
1992568844
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2126 (PR)
Practice address
Car 110 Kilometer 8.3 Intersection
Moca, PR 00676
Phone
(787) 363-8294
NPI assigned
Feb 2, 2024
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

State licenses

LicenseStateTypeSpecialty
2126PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2126 PR Yes

Addresses

Primary practice location

Car 110 Kilometer 8.3 Intersection
Moca, PR 00676

Mailing address

HC 1 Box 686412
Moca, PR 00676
Phone (787) 363-8294

Other providers in Moca, PR

All providers in Moca, PR · Professional Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.