Vivian Lourdes Acebal Lopez, M.D.
Individual provider Active NPI Pediatrics Physician · San Juan, PR
NPI 1881810091 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1881810091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME132885 (FL)
- Practice address
- 1511Ave. Juan Ponce de Leon
Suite 3
San Juan, PR 00909 - Phone
- (787) 339-2639
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132885 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pravan Wellness, LLC | Current |
Accepting new patients |
Interoperability endpoints
- vivian.acebal@54618109378564.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME132885 | FL | Yes |
Addresses
Primary practice location
1511Ave. Juan Ponce de Leon
Suite 3
San Juan, PR 00909
Mailing address
57 Ave Lopategui Apt 89
Villas de Parkville I
Guaynabo, PR 00969
Phone (787) 688-1945
Other providers in San Juan, PR
- Ines Maria Acaron
- Acc Neurology Group PSC
- Accountable Care Organization of PR
- Accountable Care Organization of PR Dba Aco Salud
- Accurate Ambulance
- Lorena Angeli Acevedo Fontanez
- Brian Oneill Acevedo Fuentes
- Alexandra Maria Acevedo Guzman
- Genesis Vanessa Acevedo Mangual
- Glendaliz Enid Acevedo Martinez
All providers in San Juan, PR · Pediatrics Physician 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 Feb 26, 2025. 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.