Humberto Acosta, M.D.
Individual provider Active NPI Family Medicine Physician · Cabo Rojo, PR
NPI 1528030236 · NPPES record last updated Sep 30, 2012
Key facts
- NPI
- 1528030236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10708 (PR)
- Practice address
- 5 Calle Maceo
Cabo Rojo, PR 00623-3509 - Phone
- (787) 851-1400
- Fax
- (787) 255-4125
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802001152 | PR | Practitioner - Family Practice | 5799756037 | Practice locations: Cabo Rojo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega CSP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10708 | PR | Yes |
Addresses
Primary practice location
5 Calle Maceo
Cabo Rojo, PR 00623-3509
Mailing address
195 Calle Picaflor
Quintas de Cabo Rojo
Cabo Rojo, PR 00623-4229
Phone (787) 851-1400
Other providers in Cabo Rojo, PR
- Alejandro Luis Acosta-Ortiz III
- Ada Miriam Acosta
- Adela Acosta
- Alejandro Andre Acosta
- Celines Acosta
- Mirza Acosta
- Adrian N. Vicenty Rivera
- Aipo,Inc
- Jose R Alemar Ulloa
- Alinea Quiropractica
All providers in Cabo Rojo, PR · Family Medicine Physician 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 Sep 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.