Healthcare Provider Details

I. General information

NPI: 1003891367
Provider Name (Legal Business Name): MARIA DEL CARMEN ACEVEDO SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 CALLE JP REYES URB ATENAS
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 321
MANATI PR
00674-0321
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-7024
  • Fax:
Mailing address:
  • Phone: 787-884-7024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9788
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number9788
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: