Marienid Acevedo

Individual provider Active NPI Occupational Therapy Assistant · Ponce, PR

NPI 1992343347 · NPPES record last updated Dec 17, 2019

Key facts

NPI
1992343347
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1201 (PR)
Practice address
Ext. Santa Teresita Calle Santa Juanita
3645
Ponce, PR 00730
Phone
(939) 414-9450
NPI assigned
Dec 17, 2019
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

LicenseStateTypeSpecialty
1201PRMDNutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1201 PR Yes

Addresses

Primary practice location

Ext. Santa Teresita Calle Santa Juanita
3645
Ponce, PR 00730

Mailing address

PO Box 6541
Ponce, PR 00733
Phone (939) 414-9450

Other providers in Ponce, PR

All providers in Ponce, PR · Occupational Therapy Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.