Mayda I Acevedo, M.S.,IBCLC
Individual provider Active NPI Registered Dietitian · Arecibo, PR
NPI 1093884546 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093884546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 952 (PR)
- Practice address
- Carr 2 Ave. de Diego 435
Arecibo, PR 00612 - Phone
- (787) 817-4962
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070302000370 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 2365544798 | Practice locations: Arecibo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952 | PR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 952 | PR | Yes |
Addresses
Primary practice location
Carr 2 Ave. de Diego 435
Arecibo, PR 00612
Mailing address
PO Box 323
Quebradillas, PR 00678-0323
Phone (787) 817-4962
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50128 | Other | PR | PREFERED MEDICARE CHOICE |
| 890390 | Other | PR | MEDICARE Y MUCHO MAS |
Other providers in Arecibo, PR
- Bryan Acevedo Nieves
- Eduardo Acevedo-Orta
- Indiana M Acevedo
- Jose Acevedo
- Marines Acevedo
- Nicole Teresa Acevedo
- Noelys Acevedo
- Aco del Norte LLC
- Aco del Norte PPN, LLC
- Aco Salud Clinica Multidisciplinaria Norte Inc
All providers in Arecibo, PR · Registered Dietitian in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.