Organization Active NPI

Waika Acosta Nazario-Medicina General, C.S.P.

  • General Practice Physician
  • San German, PR
National Provider Identifier
1609136357
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15036 Issued in PR
Legal business name
WAIKA ACOSTA NAZARIO-MEDICINA GENERAL, C.S.P.
Practice address
#18 Carro Street
Suit 101, Estrella Corner
San German, PR 00683
Phone
(787) 375-9160
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Waika Yajaira Acosta, M.D.
Title
President
Phone
(787) 375-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 15036 PR Primary

Addresses

Primary practice location

#18 Carro Street
Suit 101, Estrella Corner
San German, PR 00683

Mailing address

PO Box 1492
San German, PR 00683-1492
Phone (787) 375-9160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1609136357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1492",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831492",
            "telephone_number": "787-375-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#18 CARRO STREET",
            "address_2": "SUIT 101, ESTRELLA CORNER",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-375-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIKA ACOSTA NAZARIO-MEDICINA GENERAL, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "WAIKA",
        "authorized_official_middle_name": "YAJAIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-375-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.