Healthcare Provider Details
I. General information
NPI: 1689781312
Provider Name (Legal Business Name): FRANCES MILAGROS ACEVEDO PEREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/25/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MIGRANT HEALTH CENTER, INC. CALLE RAMON EMETERIO BETANCES 392 SUR
MAYAGUEZ PR
00680
US
IV. Provider business mailing address
PO BOX 7128 MIGRANT HEALTH CENTER, INC.
MAYAGUEZ PR
00681-7128
US
V. Phone/Fax
- Phone: 787-800-5290
- Fax: 787-834-1924
- Phone: 787-805-2900
- Fax: 787-834-1924
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 14235 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: