Provider / Organization | NPI | Date Certified |
---|---|---|
GRISELY MORO ACEVEDO | 1699383679 | 2024-07-31 |
Grisely Moro Acevedo [F] graduated in 2011 and primarily specializes in General Practice.
Grisely Moro Acevedo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699383679. Registration indicates Grisely Moro Acevedo is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
PECOS ID | 6800206376 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Grisely Moro Acevedo MD |
Practice Office Address | 110 RD KM 28.5 BO. AGUACATE AGUADILLA, PR US |
Practice Office Telephone | 7872230153 |
Mailing Address | 110 RD KM 28.5 BO. AGUACATE AGUADILLA, PR 006039442 US |
Business Telephone | 7872230153 |
Code | Practice | License No State |
---|---|---|
208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 21842
PR |