Provider Demographics
NPI:1346952611
Name:ACEVEDO, BETHSY NAOMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:BETHSY
Middle Name:NAOMI
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAS DELICIAS 1326
Mailing Address - Street 2:ULPIANO COLON
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-3840
Mailing Address - Country:US
Mailing Address - Phone:787-406-3781
Mailing Address - Fax:
Practice Address - Street 1:LAS DELICIAS 1326
Practice Address - Street 2:ULPIANO COLON
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-3840
Practice Address - Country:US
Practice Address - Phone:787-406-3781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics