Organization Active NPI

Nilda Acosta MD PA

Doing business as Excellence Medical Center

  • Non-Pharmacy Dispensing Site
  • Homestead, FL
National Provider Identifier
1033223003
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME61179 Issued in FL
Legal business name
NILDA ACOSTA MD PA
Doing business as
Excellence Medical Center
Practice address
1235 N Krome Ave
Homestead, FL 33030-4204
Phone
(305) 242-5336
Fax
(305) 242-5337
NPI assigned
Aug 18, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Nilda Acosta
Title
Managed Care Specialist
Phone
(800) 654-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME61179 FL Primary

Addresses

Primary practice location

1235 N Krome Ave
Homestead, FL 33030-4204

Mailing address

1235 N Krome Ave
Homestead, FL 33030-4204

Other names 1

  • Excellence Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1033223003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204",
            "telephone_number": "305-242-5336",
            "fax_number": "305-242-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILDA ACOSTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME61179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.