Individual
VIVIAN IVETTE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE BOULEVARD #2509, LEVITTOWN, TOA BAJA, PR 00949
(787) 798-2431
(939) 204-9938
Mailing address
CALLE MARIANO ABRIL FP-50, SEXTA SECCION LEVITTOWN, TOA BAJA, PR 00949
(787) 798-2431
(787) 778-7505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13472
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1849
MMM
PR
01
—
20190AC
TRIPLES
PR
01
—
2149
HUMANA
PR
01
—
222118
PREFERRED HEALTH
PR
01
—
A905
FIRST MEDICAL
PR
01
—
PU1073
APS
PR
Enumeration date
09/27/2006
Last updated
11/09/2021
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