Provider Demographics
NPI:1841858727
Name:MELANIE ACEVEDO VALLE LLC
Entity type:Organization
Organization Name:MELANIE ACEVEDO VALLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:JANICE
Authorized Official - Last Name:ACEVEDO VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-238-0044
Mailing Address - Street 1:HC 3 BOX 39616
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9794
Mailing Address - Country:US
Mailing Address - Phone:787-238-0044
Mailing Address - Fax:877-368-6327
Practice Address - Street 1:PR-115 R KM 0.1, AVE. ROTARIO
Practice Address - Street 2:BO. ASOMANTE
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3133
Practice Address - Country:US
Practice Address - Phone:787-238-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care