Provider Demographics
NPI:1104719921
Name:ACEVEDO SOTO, EDWIN LEMUEL (MS)
Entity type:Individual
Prefix:
First Name:EDWIN
Middle Name:LEMUEL
Last Name:ACEVEDO SOTO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6415
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9607
Mailing Address - Country:US
Mailing Address - Phone:787-204-9424
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 6415
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-9607
Practice Address - Country:US
Practice Address - Phone:787-204-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program