MEDICARE: DR. IRMA CRISTINA ACEVEDO PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	4666	PR

General Provider Information

NPI Number	:	1437769254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRMA CRISTINA ACEVEDO PSY.D.

Provider Business Mailing Address
First Line	:	ST. PALMA DE SOMBRERO #2
Second Line	:	URB. VILLAS DEL PALMAR SUR
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-207-1161
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CALLE BAEZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-5020
Country	:	US
Telephone Number	:	787-767-6710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	04/06/2026

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