Active NPI
Idalia A Acosta, M.D.
- General Practice Physician
- Miami, FL
National Provider Identifier
1285738716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME0066961
- Practice address
- 8260 W Flagler St
Suite 2K
Miami, FL 33144-2069 - Phone
- (305) 220-1020
- Fax
- (305) 220-0906
- NPI assigned
- Sep 13, 2006
- Last updated
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME0066961 | FL | Primary |
Addresses
Primary practice location
8260 W Flagler St
Suite 2K
Miami, FL 33144-2069
Mailing address
8260 W Flagler St
Suite 2K
Miami, FL 33144-2069
Phone (305) 220-1020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25992 | Other | FL | BCBS PROV NUMBER |
| ME0066961 | Other | FL | MEDICAL LICENSE NUMBER |
| 375698000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066961 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idalia a Acosta Mdpa | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Miami, FL
- NPI 1841477114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1285738716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 W FLAGLER ST",
"address_2": "SUITE 2K",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442069",
"telephone_number": "305-220-1020",
"fax_number": "305-220-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 W FLAGLER ST",
"address_2": "SUITE 2K",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442069",
"telephone_number": "305-220-1020",
"fax_number": "305-220-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "IDALIA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME0066961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NUMBER",
"identifier": "25992",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "ME0066961",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375698000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.