Angeles J. Acosta, PSYD
Individual provider Active NPI Clinical Psychologist · San Juan, PR
NPI 1487922795 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1487922795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 000651 (PR)
- Practice address
- 1865 Calle McLeary
Ocean Park
San Juan, PR 00911-1322 - Phone
- (787) 344-0493
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000651 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 000651 | PR | Yes |
Addresses
Primary practice location
1865 Calle McLeary
Ocean Park
San Juan, PR 00911-1322
Mailing address
1509 Calle Las Marias Apt 3
San Juan, PR 00911-1679
Phone (787) 344-0493
Other providers in San Juan, PR
- Deborah A Acosta Ramirez
- Acosta Roman Consulting Group
- Alex M Acosta-Miranda
- Damaris Acosta-Miranda
- Alma I. Acosta
- Aracely Acosta
- Brenda L Acosta
- Elizabeth Acosta
- Glenda Eneida Acosta
- Heriberto A Acosta
All providers in San Juan, PR · Clinical Psychologist 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 1, 2011. 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.