Provider Demographics
NPI:1043708324
Name:ACEVES-HURTADO, ADRIAN (DO)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:ACEVES-HURTADO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MR
Other - First Name:ADRIAN
Other - Middle Name:HURTADO
Other - Last Name:ACEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8960 BROWN DR BLDG 7
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5629
Mailing Address - Country:US
Mailing Address - Phone:301-295-6400
Mailing Address - Fax:301-319-2172
Practice Address - Street 1:8960 BROWN DR BLDG 7
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5629
Practice Address - Country:US
Practice Address - Phone:301-295-6400
Practice Address - Fax:301-319-2172
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A17565171000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171000000XOther Service ProvidersMilitary Health Care Provider