Healthcare Provider Details

I. General information

NPI: 1962775247
Provider Name (Legal Business Name): YARITZA ACEVEDO-SALAS MS-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO PASEO DR CELSO BARBOSA MEDICAL SCIENCE CAMPUS, GUILLERMO ARBONA BLDG.
SAN JUAN PR
00921
US

IV. Provider business mailing address

PO BOX 365067
SAN JUAN PR
00936-5067
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-758-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number250
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number955
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: