Healthcare Provider Details

I. General information

NPI: 1427985415
Provider Name (Legal Business Name): EVELYN MILAGROS ACEVEDO OLMEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ALMENDRO A21 URB. MONTECASINO
TOA ALTA PR
00953
US

IV. Provider business mailing address

CALLE ALMENDRO A21 MONTECASINO
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-222-1562
  • Fax:
Mailing address:
  • Phone: 787-222-1562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8036
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: