Provider Demographics
NPI:1104709492
Name:ACEVEDO, KARINA I (PHD)
Entity type:Individual
Prefix:DR
First Name:KARINA
Middle Name:I
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB QNTAS REALES
Mailing Address - Street 2:C5 CALLE REINA ISABEL I
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-949-9635
Mailing Address - Fax:
Practice Address - Street 1:REINA ISABEL I C5
Practice Address - Street 2:URB QUINTAS REALES
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-949-9635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12794103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical