NPI 1093991077 · live from the CMS NPI Registry
Yadira E. Acevedo, MD
Family Medicine in Portland, CT. National Provider Identifier 1093991077, active.
NPI record
| NPI | 1093991077 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 13 High St, Portland, CT 06480 |
| Practice phone | 860-358-7100 |
| Enumerated | January 21, 2008 |
| Last updated | March 16, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 49520 (CT) |
| Hospitalist | 208M00000X | 49520 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.