Doctor Name: | DR. ANGELIC ACEVEDO |
NPI Number: | 1386723518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13969 |
Business Practice Address: | 91 Calle Margo Las Palmas De Cerro Gordo Vega Alta, PR - 006929649 |
Business Phone Number: | 7874314954 |
Business Fax Number: | |
Mailing Address: | 91 Calle Margo, Las Palmas De Cerro Gordo VEGA ALTA |
State: | PR |
Postal Code: | 006929649 |
Phone Number: | 7874314954 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |