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NPI 1659122539 · live from the CMS NPI Registry

Ivan Acevedo, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Miami, FL. National Provider Identifier 1659122539, active.

NPI record

NPI1659122539 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location1890 Sw 57th Ave Ste 106, Miami, FL 33155
Practice phone786-536-1701
Mailing address1890 Sw 57th Ave Ste 106, 106, Miami, FL 33155
EnumeratedMarch 29, 2024
Last updatedAugust 29, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Psych/Mental Health primary363LP0808XAPRN11032059 (FL)
Nurse Practitioner, Family363LF0000X11032059 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.