Dra-iris A Acevedo Marty P S C | |
106 Ave Severiano Cuevas Aguadilla PR 00603-5769 | |
(787) 882-1779 | |
(787) 765-0691 |
Full Name | Dra-iris A Acevedo Marty P S C |
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Speciality | Psychiatry & Neurology |
Location | 106 Ave Severiano Cuevas, Aguadilla, Puerto Rico |
Authorized Official Name and Position | Iris A Acevedo Marty (OWNER) |
Authorized Official Contact | 7878821779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dra-iris A Acevedo Marty P S C Po Box 4240 Aguadilla PR 00605-4240 Ph: (787) 882-1779 | Dra-iris A Acevedo Marty P S C 106 Ave Severiano Cuevas Aguadilla PR 00603-5769 Ph: (787) 882-1779 |
NPI Number | 1831318666 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/10/2011 |
Medicare PECOS PAC ID | 6800965336 |
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Medicare Enrollment ID | O20080522000706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831318666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 12989 (Puerto Rico) | Primary |
Provider Name | Iris A Acevedo Marty |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679677041 PECOS PAC ID: 8123930765 Enrollment ID: I20031103000465 |
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