Guadalupe S Acosta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME94944 Issued in FL

Practice address

6801 Sheldon Road
Tampa, FL 33615-2754

Phone

(813) 885-1770

Fax

(813) 353-0861

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Guadalupe Samper Acosta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bayside Pediatrics, Inc

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1760443527
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1245382563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 SHELDON ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152754",
            "telephone_number": "813-885-1770",
            "fax_number": "813-353-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 SHELDON ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152754",
            "telephone_number": "813-885-1770",
            "fax_number": "813-353-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "S ACOSTA",
        "first_name": "GUADALUPE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME94944",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0021622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277756800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "SAMPER ACOSTA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryzemd Corp
• Kaitlin Payge Rzasa, PHARMD
• S & B Chiropractic and Rehab, Inc.
• S & S Home Care Service LLC
• S & S Pharmacy Inc (Platinum Pharmacy and Compound)
• S Curtis Takagishi PHD PA
• S Home Connections LLC
• S.a.a. Group Home LLC
• S.a.a.C. Group Home LLC
• S&K Management Services (The Good Helpers Homecare & Companion Services)

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.