Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 9788 | PR |
Y | 208D00000X | General Practice Physician | 9788 | PR |
NPI | 1003891367 |
---|---|
Provider Name | Dr. Maria Del Carmen Acevedo Sanchez |
First Address | Manati, PR 00674-0321 |
Second Address | Manati, PR 00674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/05/2019 |