| Doctor Name: | DR. CAMILLE ACEVEDO ROSA |
| NPI Number: | 1013040922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | 16698 |
| License Number: | 16698 |
| Business Practice Address: | Barrio Saltos Ii San Sebastian, PR - 006859503 |
| Business Phone Number: | 7876123054 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 7004 Pmb 110, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006859503 |
| Phone Number: | 7878961963 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |