| Doctor Name: | DR. SYLVETTE G. PETERSON |
| NPI Number: | 1043219801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 0037 |
| Business Practice Address: | Carr 107 Aguadilla, PR - 006035970 |
| Business Phone Number: | 7878824280 |
| Business Fax Number: | 7878824280 |
| Mailing Address: | Po Box 717, MOCA |
| State: | PR |
| Postal Code: | 006760717 |
| Phone Number: | 7878824280 |
| Fax Number: | 7878824280 |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 0037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |