Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2013-01029 | NC |
NPI | 1396903415 |
---|---|
Provider Name | Dr. Micael Lopez-Acevedo |
First Address | Manati, PR 00674 |
Second Address | Manati, PR 00674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 17/11/2021 |