Jose David Acosta Sr., MD
Individual provider Active NPI Medical Physician Assistant · Vega Alta, PR
NPI 1265070957 · NPPES record last updated Dec 13, 2019
Key facts
- NPI
- 1265070957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 248 (PR)
- Practice address
- 73 Calle 2
Vega Alta, PR 00692-5761 - Phone
- (939) 257-7874
- NPI assigned
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 248 | PR | Yes |
Addresses
Primary practice location
73 Calle 2
Vega Alta, PR 00692-5761
Mailing address
73 Calle 2
Vega Alta, PR 00692-5761
Phone (939) 257-7874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-248 | Medicaid | PR |
Other providers in Vega Alta, PR
- 5 Senses Therapy Center LLC
- Angelic Acevedo
- Carlos A Acevedo
- Luis A. Acosta
- Acs Group, Corp.
- Aecv.LLC
- Carolyn Agosto Rivera
- Nelida Aguiar Figueroa
All providers in Vega Alta, PR · Medical Physician Assistant 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 Dec 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.