Doctor Name: | MISS LORIEVA ACEVEDO |
NPI Number: | 1245270560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 16226 |
Business Practice Address: | 2664 Ave Las Americas Ponce, PR - 007172107 |
Business Phone Number: | 7878126666 |
Business Fax Number: | 7878121666 |
Mailing Address: | 2009 Calle Caudal, PONCE |
State: | PR |
Postal Code: | 007163604 |
Phone Number: | 7875172656 |
Fax Number: | 7878126666 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |