Healthcare Provider Details

I. General information

NPI: 1801117726
Provider Name (Legal Business Name): BERNICE DEL CARMEN ACEVEDO-MARCANO M.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9193 SUNSET DR 200
MIAMI FL
33173-3456
US

IV. Provider business mailing address

9193 SUNSET DR STE 200
MIAMI FL
33173-3487
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-9377
  • Fax: 954-273-9388
Mailing address:
  • Phone: 305-273-9377
  • Fax: 954-273-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME123875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: