Agnes Acosta, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9490 Issued in PR

Practice address

151 Calle Guarionex
Urb Los Caciques
Carolina, PR 00987-8710

Phone

(787) 762-7969

NPI assigned

Sep 26, 2006

Last updated

May 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ges de San Juan, Inc.

  • Preferred Provider Organization
  • San Juan, PR
  • NPI 1669508156
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1063513877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CALLE GUARIONEX",
            "address_2": "URB LOS CACIQUES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878710",
            "telephone_number": "787-762-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CALLE GUARIONEX",
            "address_2": "URB LOS CACIQUES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878710",
            "telephone_number": "787-762-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelvin Acevedo-Valle, MD
• Luz M Acevedo-Vargas, MD
• Dobryna Acevedo-Zamot
• Maria del Pilar Acevedo
• Harriel Acosta Medina, PHARMD
• Neila M Acosta, 2234
• Adamaris Adames, SPEECH THERAIST
• Diogenes Orestes Adames, MD
• Advance Chiropractic and Laser Clinic LLC
• Advance Chiropractic, L.L.C.

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.