Provider Demographics
NPI:1881477545
Name:ROSA ACEVEDO, NORMA IRIS (MSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:IRIS
Last Name:ROSA ACEVEDO
Suffix:
Gender:F
Credentials:MSW
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 805
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-0805
Mailing Address - Country:US
Mailing Address - Phone:787-217-8331
Mailing Address - Fax:
Practice Address - Street 1:URB. PONCE DE LEON
Practice Address - Street 2:C/20 P2
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-217-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR140451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical