Provider Demographics
NPI:1780659631
Name:ACEVEDO, FRANK REINALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:REINALDO
Last Name:ACEVEDO
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:PMB 352
Mailing Address - Street 2:PO BOX 4960
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4960
Mailing Address - Country:US
Mailing Address - Phone:787-535-0300
Mailing Address - Fax:787-535-9494
Practice Address - Street 1:PLAZA EMPRESARIAL MUNICIPAL
Practice Address - Street 2:SUITE 101 C
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737
Practice Address - Country:US
Practice Address - Phone:787-535-0300
Practice Address - Fax:787-535-9494
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9145174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29046Medicare PIN
PRD 195198Medicare UPIN