Individual
MRS. MAYDA I ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,IBCLC
Contact information
Practice address
CARR 2 AVE. DE DIEGO 435, ARECIBO, PR 00612
(787) 817-4962
Mailing address
PO BOX 323, QUEBRADILLAS, PR 00678-0323
(787) 817-4962
(787) 817-4962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
952
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50128
PREFERED MEDICARE CHOICE
PR
01
—
890390
MEDICARE Y MUCHO MAS
PR
Enumeration date
11/07/2006
Last updated
07/08/2007
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