Provider Demographics
NPI:1114976990
Name:ACEVEDO-GUEVARA, TOMAS AGUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:AGUSTIN
Last Name:ACEVEDO-GUEVARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1223 CALLE LUCHETTI
Mailing Address - Street 2:APARTAMENTO 7 NORTE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-723-7946
Mailing Address - Fax:787-723-7946
Practice Address - Street 1:1223 CALLE LUCHETTI
Practice Address - Street 2:APARTAMENTO 7 NORTE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-723-7946
Practice Address - Fax:787-723-7946
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR3284208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology