Provider Demographics
NPI:1588187868
Name:SEYMOUR ACEVEDO, STEPHANIE MARIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MARIE
Last Name:SEYMOUR ACEVEDO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:107 CEREIPO ST.
Mailing Address - Street 2:URB. ALTURAS DE SANTA MARIA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-648-8314
Mailing Address - Fax:
Practice Address - Street 1:107 CEREIPO ST
Practice Address - Street 2:URB ALTURAS DE SANTA MARIA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-648-8314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR23348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine