Healthcare Provider Details

I. General information

NPI: 1396658332
Provider Name (Legal Business Name): SYLKIA ELAINE ACEVEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 CALLE VENTURA GANDARILLA
ARECIBO PR
00612-4808
US

IV. Provider business mailing address

HC 3 BOX 20663
ARECIBO PUERTO RICO
00612-8211
UM

V. Phone/Fax

Practice location:
  • Phone: 787-650-3711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7902
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: