Provider Demographics
NPI:1750181277
Name:ACEVEDO, ANA MARIELA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIELA
Last Name:ACEVEDO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3911
Mailing Address - Country:US
Mailing Address - Phone:415-571-1175
Mailing Address - Fax:
Practice Address - Street 1:16 PRESTON ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3911
Practice Address - Country:US
Practice Address - Phone:415-571-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula