Individual provider Active NPI

Antonio Noriega Acosta, MD

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1174627467
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11971 Issued in PR
Practice address
Calle Labra #2
Cabo Rojo, PR 00623
Phone
(787) 851-6965
Fax
(787) 851-6965
NPI assigned
Sep 8, 2006
Last updated
Mar 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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 11971 PR Primary

Addresses

Primary practice location

Calle Labra #2
Cabo Rojo, PR 00623

Mailing address

PO Box 1338
Cabo Rojo, PR 00623-1338
Phone (787) 896-0245

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
I20120801000732 PR Practitioner - General Practice 7719149939 Practice locations: Cabo Rojo, PR; San Sebastian, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11971PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Medicina Primaria Caborrojena, CSP General Practice Past Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients
Centro Especializado En Salud SSVP, Inc General Practice Past Accepting new patients

Organizations & group practices 3

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1174627467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231338",
            "telephone_number": "787-896-0245",
            "fax_number": "787-896-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LABRA #2",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-851-6965",
            "fax_number": "787-851-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA ACOSTA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.