Healthcare Provider Details

I. General information

NPI: 1871415836
Provider Name (Legal Business Name): ANDREA A ACEVEDO VILLANUEVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 129 INT 454 KM 21.8 BO CALLEJONES
LARES PR
00669
US

IV. Provider business mailing address

PO BOX 543
LARES PR
00669-0543
US

V. Phone/Fax

Practice location:
  • Phone: 787-897-3945
  • Fax: 787-897-2648
Mailing address:
  • Phone: 787-897-3945
  • Fax: 787-897-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7043
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: