Provider Demographics
NPI:1891684239
Name:ORENGO ACEVEDO, ARIELYS D (PSYD)
Entity type:Individual
Prefix:
First Name:ARIELYS
Middle Name:D
Last Name:ORENGO ACEVEDO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO A PORRATA PILA
Mailing Address - Street 2:2431 BLVD. LUIS A. FERRE, SUITE 109
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AVE LAS AMERICAS #209
Practice Address - Street 2:COND. EDIFICIO PORRATA PILA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:939-398-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7218103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical