Provider Demographics
NPI:1326914656
Name:ACEVEDO DE JESUS, JOVEISKA
Entity type:Individual
Prefix:
First Name:JOVEISKA
Middle Name:
Last Name:ACEVEDO DE JESUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8757
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8757
Mailing Address - Country:US
Mailing Address - Phone:939-232-5839
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 8757
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-8757
Practice Address - Country:US
Practice Address - Phone:939-625-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR172071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty