Individual provider Active NPI

Ada N. Acosta-Martinez, M.D.

  • Internal Medicine Physician
  • San German, PR
National Provider Identifier
1861743577
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17174 Issued in PR
Practice address
Carr #2 KM 173.4
Torre Medica San Vicente de Paul Oficina 510
San German, PR 00683
Phone
(787) 983-0405
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17174 PR Primary

Addresses

Primary practice location

Carr #2 KM 173.4
Torre Medica San Vicente de Paul Oficina 510
San German, PR 00683

Mailing address

P.O. Box 108
Bogueron, PR 00622
Phone (787) 457-9812

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
I20121120000418 PR Practitioner - Internal Medicine 3577714682 Practice locations: Mayaguez, PR; San German, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1861743577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 108",
            "city": "BOGUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-457-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 173.4",
            "address_2": "TORRE MEDICA SAN VICENTE DE PAUL OFICINA 510",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-983-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA-MARTINEZ",
        "first_name": "ADA",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.