Provider Demographics
NPI:1508058777
Name:ACEVEDO CRUZ, SIGFREDO (MD)
Entity Type:Individual
Prefix:DR
First Name:SIGFREDO
Middle Name:
Last Name:ACEVEDO CRUZ
Suffix:
Gender:M
Credentials:MD
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 469
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-0469
Mailing Address - Country:US
Mailing Address - Phone:787-669-1413
Mailing Address - Fax:787-816-1028
Practice Address - Street 1:CAR 2 R639 K4 4 H5 INT
Practice Address - Street 2:BO SABANA HOYOS SECTOR MENDEZ
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-699-1413
Practice Address - Fax:787-816-1028
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14986208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL393OtherACN