Organization Active NPI

Ana M Acosta MD PA

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1295192086
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ACN 734 Issued in FL
Legal business name
ANA M ACOSTA MD PA
Practice address
330 SW 27TH Ave Ste 701
Miami, FL 33135-2968
Phone
(786) 360-4423
Fax
(786) 360-6215
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Ana M Acosta, MDNPI 1821406240
Title
MD/President
Phone
(786) 360-4423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME 59402 FL
Primary Care Clinic/Center 261QP2300X ACN 734 FL Primary

Addresses

Primary practice location

330 SW 27TH Ave Ste 701
Miami, FL 33135-2968

Mailing address

330 SW 27TH Ave Ste 701
Miami, FL 33135-2968
Phone (786) 360-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160511001639 FL Part B Supplier - Clinic/Group Practice 3173812393 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

330 SW 27th Ave
Ste 701
Miami, FL 33135
Phone (305) 363-1880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1295192086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352968",
            "telephone_number": "786-360-4423",
            "fax_number": "786-360-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352968",
            "telephone_number": "786-360-4423",
            "fax_number": "786-360-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA M ACOSTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "786-360-4423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 59402",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ACN 734",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.