1952521254 NPI number — DR. YOLANDA ACEVEDO CORTES PHD

Table of content: DR. YOLANDA ACEVEDO CORTES PHD (NPI 1952521254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952521254 NPI number — DR. YOLANDA ACEVEDO CORTES PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CORTES
Provider First Name:
YOLANDA
Provider Middle Name:
ACEVEDO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CORTES
Provider Other First Name:
YOLANDA
Provider Other Middle Name:
ACEVEDO
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952521254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HAMACA F-6, BRISAS DE MONTECASINOS, TOA ALTA,PR
Provider Second Line Business Mailing Address:
#605, BRISAS DE MONTECASINOS
Provider Business Mailing Address City Name:
TOA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00953
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-251-3477
Provider Business Mailing Address Fax Number:
787-759-6686

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
414 AVE BARBOSA
Provider Second Line Business Practice Location Address:
AVE. BARBOSA 414, TERCER PISO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917-4306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-282-7618
Provider Business Practice Location Address Fax Number:
787-759-6686
Provider Enumeration Date:
04/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1107 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com