Individual provider Active NPI

Katty Olga Estrella Acosta, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1013697812
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024095 Issued in PR
Practice address
C. Jose de Diego
Aguadilla, PR 00605-4055
Phone
(787) 658-0000
Fax
(787) 819-0805
NPI assigned
Jul 18, 2023
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 024095 PR Primary

Addresses

Primary practice location

C. Jose de Diego
Aguadilla, PR 00605-4055

Mailing address

PO Box 4055
Aguadilla, PR 00605-4055
Phone (786) 631-1845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008003521 PR Practitioner - General Practice 3173054657 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

183 Ave Dunscombe
Mayaguez, PR 00682-2432
Phone (787) 665-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024095PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

183 Ave Dunscombe
Mayaguez, PR 00682
Phone (787) 613-6918

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1013697812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "786-631-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C. JOSE DE DIEGO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-658-0000",
            "fax_number": "787-819-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA ACOSTA",
        "first_name": "KATTY",
        "middle_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.