Provider Demographics
NPI:1003602954
Name:GUZMAN ACEVEDO, CARLOS GERARDO (PHARMD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:GERARDO
Last Name:GUZMAN ACEVEDO
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 EDIFICIO MEDICO SANTA CRUZ
Mailing Address - Street 2:CALLE SANTA CRUZ SUITE 101
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6911
Mailing Address - Country:US
Mailing Address - Phone:787-798-4646
Mailing Address - Fax:787-288-8111
Practice Address - Street 1:73 EDIFICIO MEDICO SANTA CRUZ
Practice Address - Street 2:CALLE SANTA CRUZ SUITE 101
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6911
Practice Address - Country:US
Practice Address - Phone:787-798-4646
Practice Address - Fax:787-288-8111
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist