Provider Demographics
NPI:1801117726
Name:ACEVEDO, BERNICE DEL CARMEN (MD,)
Entity type:Individual
Prefix:MRS
First Name:BERNICE
Middle Name:DEL CARMEN
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9193 SUNSET DR
Mailing Address - Street 2:200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3456
Mailing Address - Country:US
Mailing Address - Phone:305-273-9377
Mailing Address - Fax:954-273-9388
Practice Address - Street 1:9193 SUNSET DR
Practice Address - Street 2:200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3456
Practice Address - Country:US
Practice Address - Phone:305-273-9377
Practice Address - Fax:954-273-9388
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME123875207RN0300X, 174400000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist