Sigfredo Acosta Perez M.D. P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 64632 Issued in FL

Legal business name

SIGFREDO ACOSTA PEREZ M.D. P.A.

Practice address

595 N Courtenay Pkwy
Suite 204
Merritt Island, FL 32953-4851

Phone

(321) 452-3920

Fax

(321) 459-1258

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sigfredo Acosta-Perez, M.D.

Title

President

Phone

(321) 452-3920

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Merritt Island Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619190402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N COURTENAY PKWY",
            "address_2": "SUITE 204",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534851",
            "telephone_number": "321-452-3920",
            "fax_number": "321-459-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N COURTENAY PKWY",
            "address_2": "SUITE 204",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534851",
            "telephone_number": "321-452-3920",
            "fax_number": "321-459-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGFREDO ACOSTA PEREZ M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA-PEREZ",
        "authorized_official_first_name": "SIGFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-452-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 64632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORESOURCE ID #",
            "identifier": "0502937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS ID #",
            "identifier": "23749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "81083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "4348228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ACCOUNT  #",
            "identifier": "EM002 88779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merritt Island Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Eugene Shepard, PT
• Tereasa Dianne Shepherd, P.T., MSHA
• Shrew Inc.
• Priscila Rosal Siaga Jenkins, RN
• Anthony John Sidor, D.D.S.
• David Paul Sims, MD
• Jennifer April Sims, RMHCI
• Mary Lee Sims, CUSTOM FITTER
• Vanesha Singletary, RBT
• Ambria Skibbe

• Pediatrics Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.