Heriberto A Acosta, M.D.
Individual provider Active NPI Neurology Physician · San Juan, PR
NPI 1194895045 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1194895045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 5620 (PR)
- Practice address
- 255 Calle Manuel Domenech
San Juan, PR 00918-3510 - Phone
- (787) 753-0255
- Fax
- (787) 753-5082
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
255 Calle Manuel Domenech
San Juan, PR 00918-3510
Phone (787) 753-0255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101222000972 | PR | Practitioner - Neurology | 4385832922 | Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5620 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5620 | PR | Yes |
Addresses
Primary practice location
255 Calle Manuel Domenech
San Juan, PR 00918-3510
Mailing address
Ave. Domenech #255
San Juan, PR 00918-1535
Phone (787) 753-0255
Other providers in San Juan, PR
- Angeles J. Acosta
- Aracely Acosta
- Brenda L Acosta
- Elizabeth Acosta
- Glenda Eneida Acosta
- Jose I Acosta
- Melvyn Efren Acosta III
- Mirelis Acosta
- Onnis Acosta
- Pablo Antonio Acosta
All providers in San Juan, PR · Neurology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.