Provider Demographics
NPI:1336821974
Name:BABILONIA-ACEVEDO, SASHA NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SASHA
Middle Name:NICOLE
Last Name:BABILONIA-ACEVEDO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6354
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9620
Mailing Address - Country:US
Mailing Address - Phone:787-235-4471
Mailing Address - Fax:
Practice Address - Street 1:11705 PR-2 EDIFICIO #2
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-819-3930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist