Provider Demographics
NPI:1346827169
Name:ACEVEDO VELEZ, DANIEL JOSE (PA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSE
Last Name:ACEVEDO VELEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4119
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4119
Mailing Address - Country:US
Mailing Address - Phone:787-412-8110
Mailing Address - Fax:
Practice Address - Street 1:8705 PERIMETER PARK BLVD STE 1032216
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6344
Practice Address - Country:US
Practice Address - Phone:787-412-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical