Lourdes W. D'Acosta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

912 Issued in PR

Practice address

100 Ave San Patricio
Suite 208
Guaynabo, PR 00968-2608

Phone

(787) 792-1700

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1043306293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE SAN PATRICIO",
            "address_2": "SUITE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682608",
            "telephone_number": "787-792-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE SAN PATRICIO",
            "address_2": "SUITE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682608",
            "telephone_number": "787-792-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ACOSTA",
        "first_name": "LOURDES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther J Cuevas, PHARMACIST
• Rafael Cummings Torres, 1066P
• Maria T Curet Salim, MD
• Pedro E Custodio Torres, 1549B
• Martha D Plana Collazo, 1005P
• Gabriela Irene D'Atri Bosch, MD
• Damar of Puerto Services, Inc.
• Angel Davila Garcia, 1226P
• Maria A Davila Lopez, RD
• Luis Davila Rivera, 040B

• General Practice Dentistry in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.