Individual provider Active NPI

Felix M Acosta, MD

  • General Practice Physician
  • Gurabo, PR
National Provider Identifier
1578035945
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21134 Issued in PR
Practice address
Calle 1, Urb El Vivero D-12
Gurabo, PR 00778
Phone
(787) 737-6082
NPI assigned
Dec 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21134 PR Primary

Addresses

Primary practice location

Calle 1, Urb El Vivero D-12
Gurabo, PR 00778

Mailing address

HC 2 Box 19571
Boqueron, PR 00622-9375
Phone (787) 851-7446

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
I20190611002629 PR Practitioner - General Practice 7113250846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21134PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince May 1, 2019 Accepting new patients
Instituto Medico del Norte Inc CurrentSince May 1, 2019 Accepting new patients
Gemipsc CurrentSince Jul 14, 2021 Accepting new patients
Eastern Primary Medical Services, P.S.C. General Practice Past Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

Organizations & group practices 4

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1578035945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 19571",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006229375",
            "telephone_number": "787-851-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1, URB EL VIVERO D-12",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "FELIX",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.