Sandra Acevedo, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2378 Issued in PR

Practice address

1052 Bo Asomante
Aguada, PR 00602-3142

Phone

(787) 431-6006

Fax

(787) 868-0485

NPI assigned

Jul 22, 2008

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1578728291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761037",
            "telephone_number": "787-431-6006",
            "fax_number": "787-868-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023142",
            "telephone_number": "787-431-6006",
            "fax_number": "787-868-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aracelis Acevedo
• Ilia M Acevedo, RPH
• Jessed Omar Acevedo, MD
• Lourdes M Acevedo, M.D.
• Omar Acevedo, MD
• Sergio Acevedo, D.M.D.
• Vidalina Acevedo
• Yahaira Acevedo
• Acf Medical Wellness LLC
• Acl Group LLC (Farmacia Costa Caribe)

• Counseling Psychologist in Aguada, PR
• Providers in Aguada, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.