Provider Demographics
NPI:1770353690
Name:ACEVEDO BADILLO, SUHEILY MARIE (MD)
Entity type:Individual
Prefix:
First Name:SUHEILY
Middle Name:MARIE
Last Name:ACEVEDO BADILLO
Suffix:
Gender:F
Credentials:MD
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 726
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0726
Mailing Address - Country:US
Mailing Address - Phone:787-472-3066
Mailing Address - Fax:
Practice Address - Street 1:246 CALLE SAN NARCISO
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3014
Practice Address - Country:US
Practice Address - Phone:787-472-3066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program