Individual provider · NPI-1
Yadira E. Acevedo, MD
Family Medicine · Portland, CT
NPI number1093991077
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1093991077
- Entity type
- Individual (NPI-1)
- Name
- Yadira E. Acevedo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2008
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 49520 | CT | Yes |
| 208M00000X | Hospitalist | 49520 | CT |
Practice location
13 High StPortland, CT 06480-1616
Phone 860-358-7100 · Fax 860-358-8321
Mailing address
13 High StPortland, CT 06480-1616
Phone 860-358-7100 · Fax 860-358-8321
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