Individual
NILDA IVELISSE ACEVEDO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
PO BOX 1106, MOCA, PR 00676-1106
(939) 200-3629
Mailing address
URB. ISLAZUL 3379, CALLE TENERIFE, ISABELA, PR 00662
(787) 224-0664
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8083
PR
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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