Luis Andres Acosta Clas, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22795 Issued in PR

Practice address

Barrio Monacillo Avenida Gobernador Pinero
Centro Medico
San Juan, PR 00928

Phone

(787) 480-2700

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1891359873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 CALLE SAN ETANISLAO",
            "address_2": "URB SAN IGNACIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-233-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO MONACILLO AVENIDA GOBERNADOR PINERO",
            "address_2": "CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-480-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA CLAS",
        "first_name": "LUIS",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Acevedo, DMD
• William Acevedo, M.D.
• Yaelis C Acevedo
• Zaritza S. Acevedo, AUDIOLOGIST
• Achieve LLC
• Mario P. Acosta Duarte, M.D.
• Pablo Omar Acosta Garayua
• Gabriel Antonio Acosta Gonzalez, M.D.
• Ana Lucia Acosta Leon, MS
• Fabiola Andrea Acosta Nunez

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.