Isamara Acevedo Rodriguez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gurabo, PR
NPI 1386490993 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1386490993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1658 (PR)
- Practice address
- K24 Calle 11
Gurabo, PR 00778-2147 - Phone
- (787) 595-3627
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | PR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1658 | PR | Yes |
Addresses
Primary practice location
K24 Calle 11
Gurabo, PR 00778-2147
Mailing address
K24 Calle 11
Gurabo, PR 00778-2147
Phone (787) 595-3627
Other providers in Gurabo, PR
- Glenis M Abreu Crespo
- Carlos Acevedo Vila
- Cristina Acevedo
- Nelson Joel Acevedo
- David Acosta Vargas
- Felix M Acosta
All providers in Gurabo, PR · Addiction (Substance Use Disorder) Counselor 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 Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.