Healthcare Provider Details

I. General information

NPI: 1295065340
Provider Name (Legal Business Name): NILMA ACEVEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHARDON AVE ANGEL RAMOS FOUNDATION 2 APS HEALTHCARE PR
SAN JUAN PR
00936
US

IV. Provider business mailing address

APS HEALTHCARE PR PO BOX 71474
SAN JUAN PR
00936
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-0773
  • Fax: 787-641-0776
Mailing address:
  • Phone: 787-641-0773
  • Fax: 787-641-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: