DR. JORGE ACEVEDO CANABAL (NPI# 1013460617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013460617 |
| Entity Type | Individual |
| Full Name | DR. JORGE ACEVEDO CANABAL |
| Credential | MD |
| Practice Address |
115 Lighthouse Dr Aguadilla PR 00603-1327 |
| Mailing Address |
328 Calle 30 San Juan PR 00927-5209 |
| Practice Telephone | 7874035576 |
| Mailing Telephone | 7874035576 |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 21568 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
115 LIGHTHOUSE DR |
| City | AGUADILLA |
| State | PR |
| Zip Code | 00603-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938593 | Natalia Cordero Lopez | Psychologist | 3 Calle Orquidea, Urb. La Victoria, Aguadilla, PR 00603 | 2020-10-08 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1427667906 | Northwestern Renal Care Psc | Exclusive Provider Organization | Edificio Western Plaza, Oficina 10, Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603 | 2020-07-30 |
| 1457960502 | Tamara Paola Gonzalez Copo | Student in an Organized Health Care Education/Training Program | Bo Maleza Alta Sect Martinica Carr 110 Km32.3, Aguadilla, PR 00603 | 2020-07-24 |
| 1538778824 | Felipe Jose Soto | Student in an Organized Health Care Education/Training Program | Carr. 2 Km 141.1 Ave. Severiano Cuevas 18, Aguadilla, PR 00603 | 2020-07-23 |
| 1699383679 | Grisely Moro Acevedo | General Practice | Carr 110 Km 23.8 Int Reparto Monte Cristo 16, Bo. Ceiba Baja, Aguadilla, PR 00603 | 2020-07-16 |
| 1245857879 | Brunilda Rios | General Acute Care Hospital | Hospital Buen Samaritano Avenida Severiano Cuevas #18 K, Aguadilla, PR 00603 | 2020-06-30 |
| 1699391227 | Diannette Morales-crespo | General Practice | Avenida Severiano Cuevas, 18 Km 141.1 Bo. Caimital Bajo, Aguadilla, PR 00603 | 2020-06-19 |
| 1275158982 | Tamia Marie Lozada Soto | Student in an Organized Health Care Education/Training Program | Ave. Severiano Cuevas #18 Carr #2 Km 141.1, Aguadilla, PR 00603 | 2020-06-09 |
| 1679105902 | Super Heroes 5k Inc | Respite Care | Km 2.1 Road 107, Aguadilla Puerto Rico, Borinquen, Aguadilla, PR 00603 | 2020-02-05 |
| Find all providers in zip 00603 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292373 | Yuanil Airam Hernandez Torres | General Practice | 24 Calle Criscola, Aguadilla, PR 00603-6308 | 2020-10-15 |
| 1841806742 | Nex-gen Medical Services P S C | General Practice | Carr 107 Km 2.9 Bo. Borinquen, Aguadilla, PR 00603-0060 | 2020-09-17 |
| 1467061325 | Grissel Awilda Villanueva | General Practice | 502 Ave Victoria, Aguadilla, PR 00603-4700 | 2020-07-27 |
| 1699383679 | Grisely Moro Acevedo | General Practice | Carr 110 Km 23.8 Int Reparto Monte Cristo 16, Bo. Ceiba Baja, Aguadilla, PR 00603 | 2020-07-16 |
| 1699391227 | Diannette Morales-crespo | General Practice | Avenida Severiano Cuevas, 18 Km 141.1 Bo. Caimital Bajo, Aguadilla, PR 00603 | 2020-06-19 |
| 1437795051 | Joel Lopez Guzman | General Practice | Sect. Las Villas, Park Road #130, Aguadilla, PR 00603 | 2019-11-19 |
| 1518511906 | Gisela Acevedo Morales | General Practice | Avenida Severiano Cuevas #18 Km 141.1 Bo Caimital Bajo, Hospital Buen Samaritano Apartado 4055, Aguadilla, PR 00605 | 2019-07-24 |
| 1487215661 | Maritere Babilonia | General Practice | 18 Ave Severiano Cuevas Km 141.1 Bo Caimital Bajo, Aguadilla, PR 00603 | 2019-06-27 |
| 1932765369 | Kritzia Meraris Perez Caban | General Practice | Urb Jardines De Borinquen, 53 Calle Leon, Aguadilla, PR 00603 | 2019-05-10 |
| 1699238592 | Clinica Las Americas Guaynabo, Inc | General Practice | Carr. 2 Km. 129.3, Barrio Victoria, Aguadilla, PR 00603 | 2019-04-09 |
| Find all providers in AGUADILLA | ||||
Please comment or provide details below to improve the information on DR. JORGE ACEVEDO CANABAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.