Teresa O Acosta Avila

Individual provider Active NPI Nurse Practitioner · Hialeah, FL

NPI 1164825972 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1164825972
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
ARNP9391839 (FL)
Practice address
4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone
(305) 817-6560
Fax
(786) 209-2023
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150610001532 FL Practitioner - Nurse Practitioner 5092036442 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. Current
since Jun 15, 2015
Accepting new patients
Citrus Health Network Inc Current
since Jun 15, 2015
Accepting new patients
Citrus Health Network Inc Past Accepting new patients
Citrus Health Network Inc Past Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

551 W 51st Pl
Fl 2
Hialeah, FL 33012
Phone (305) 817-6560

Interoperability endpoints

  • Direct secure messaging: mchc@citrushealth.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9391839 FL Yes

Addresses

Primary practice location

4175 W 20TH Ave
Hialeah, FL 33012-5874

Mailing address

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 817-6560

Other providers in Hialeah, FL

All providers in Hialeah, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.