NPI 1659114239 · live from the CMS NPI Registry
Luis Anthony Acevedo, DO
Student in an Organized Health Care Education/Training Program in Dunn, NC. National Provider Identifier 1659114239, active.
NPI record
| NPI | 1659114239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 800 Tilghman Dr, Dunn, NC 28334 |
| Practice phone | 910-897-6423 |
| Enumerated | June 13, 2024 |
| Last updated | September 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | RTL24-1026 (NC) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.