Healthcare Provider Details

I. General information

NPI: 1487537718
Provider Name (Legal Business Name): SACHA PEREZ ACEVEDO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 03/31/2026
Certification Date: 07/25/2025
Deactivation Date: 08/29/2025
Reactivation Date: 03/31/2026

III. Provider practice location address

HC 57 BOX 15762
AGUADA PR
00602-9871
US

IV. Provider business mailing address

HC 57 BOX 15762
AGUADA PR
00602-9871
US

V. Phone/Fax

Practice location:
  • Phone: 939-258-2046
  • Fax:
Mailing address:
  • Phone: 939-258-2046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6539
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: