Individual provider Active NPI

Humberto Acosta, M.D.

  • Family Medicine Physician
  • Cabo Rojo, PR
National Provider Identifier
1528030236
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10708 Issued in PR
Practice address
5 Calle Maceo
Cabo Rojo, PR 00623-3509
Phone
(787) 851-1400
Fax
(787) 255-4125
NPI assigned
Feb 6, 2006
Last updated
Sep 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10708 PR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001152 PR Practitioner - Family Practice 5799756037 Practice locations: Cabo Rojo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Omega CSP PastSince Jan 2, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1528030236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CALLE PICAFLOR",
            "address_2": "QUINTAS DE CABO ROJO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234229",
            "telephone_number": "787-851-1400",
            "fax_number": "787-255-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE MACEO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233509",
            "telephone_number": "787-851-1400",
            "fax_number": "787-255-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "HUMBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.