Provider Demographics
NPI:1174817977
Name:ACEVEDO SERRANO, XIOMARA (PHARM D)
Entity Type:Individual
Prefix:
First Name:XIOMARA
Middle Name:
Last Name:ACEVEDO SERRANO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE.WINSTON CHURCHILL, ESQ PARANA EL SENORIAL
Mailing Address - Street 2:
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00925
Mailing Address - Country:US
Mailing Address - Phone:787-751-7219
Mailing Address - Fax:787-751-7250
Practice Address - Street 1:AVE.WINSTON CHURCHILL, ESQ PARANA EL SENORIAL
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-751-7219
Practice Address - Fax:787-751-7250
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist