Provider Demographics
NPI:1114728524
Name:DR. MICHAEL Y. ACEVEDO RANERO , LLC
Entity type:Organization
Organization Name:DR. MICHAEL Y. ACEVEDO RANERO , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-212-7002
Mailing Address - Street 1:155 CALLE CALIFORNIA
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-1822
Mailing Address - Country:US
Mailing Address - Phone:787-895-7777
Mailing Address - Fax:787-895-8888
Practice Address - Street 1:155 CALLE CALIFORNIA
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1822
Practice Address - Country:US
Practice Address - Phone:787-895-7777
Practice Address - Fax:787-895-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty