Individual provider Active NPI

Virgen M Acosta Acosta, M.D.

  • Diagnostic Radiology Physician
  • Mayaguez, PR
National Provider Identifier
1477555894
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5747 Issued in PR
Practice address
57 Calle de Diego E
Mayaguez, PR 00680-4804
Phone
(787) 833-4556
Fax
(787) 265-3434
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5747 PR Primary

Addresses

Primary practice location

57 Calle de Diego E
Mayaguez, PR 00680-4804

Mailing address

57 Calle de Diego East
Mayaguez, PR 00680-4804
Phone (787) 833-4556

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

LicenseStateTypeSpecialty
5747PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital San Carlos Incorporado Diagnostic Radiology 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1477555894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CALLE DE DIEGO EAST",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804804",
            "telephone_number": "787-833-4556",
            "fax_number": "787-265-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804804",
            "telephone_number": "787-833-4556",
            "fax_number": "787-265-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA ACOSTA",
        "first_name": "VIRGEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.