Organization
PEDIATRIC NEUROMUSCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA M MONTALVO ACEVEDO MD (PRESIDENT)
(787) 233-5933
Entity
Organization
Contact information
Practice address
252 CALLE SAN JORGE, EDIF MEDICO SAN JORGE SUITE 307, SAN JUAN, PR 00912
(787) 233-5933
Mailing address
140 VIOLETA, URB SAN FRANCISCO, SAN JUAN, PR 00927-6211
(787) 233-5933
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
09/28/2021
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