Provider Demographics
NPI:1205677440
Name:ACOSTA PEREZ, SYLVETTE BEMARIE
Entity type:Individual
Prefix:MRS
First Name:SYLVETTE
Middle Name:BEMARIE
Last Name:ACOSTA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MAYAGUEZ TERRACE
Mailing Address - Street 2:8009 CARMELO ALEMAR
Mailing Address - City:PR
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-546-3234
Mailing Address - Fax:
Practice Address - Street 1:8009 CALLE CARMELO ALEMAR
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6620
Practice Address - Country:US
Practice Address - Phone:787-546-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional