Elizabeth Acosta, RPH
Individual provider Active NPI Pharmacist · San Juan, PR
NPI 1487909354 · NPPES record last updated Jul 17, 2012
Key facts
- NPI
- 1487909354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2882 (PR)
- Practice address
- 370 Ave Domenech
San Juan, PR 00918-3720 - Phone
- (787) 764-1194
- Fax
- (787) 756-8807
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2882 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KGH, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2882 | PR | Yes |
Addresses
Primary practice location
370 Ave Domenech
San Juan, PR 00918-3720
Mailing address
1554 Lopez Landron Street
Apt 408
San Juan, PR 00911
Phone (787) 764-1194
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2012. 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.