Organization Active NPI

Gilberto J Acosta Podiatrist Inc

  • Podiatrist
  • Hialeah, FL
National Provider Identifier
1891781332
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2800 Issued in FL
Legal business name
GILBERTO J ACOSTA PODIATRIST INC
Practice address
613 E 49TH St
Hialeah, FL 33013-1963
Phone
(305) 828-2288
Fax
(305) 828-2399
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Mr. Gilberto J Acosta, DPMNPI 1952456477
Title
President
Phone
(305) 828-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 2800 FL Primary

Addresses

Primary practice location

613 E 49TH St
Hialeah, FL 33013-1963

Mailing address

613 E 49TH St
Hialeah, FL 33013-1963
Phone (305) 828-2288

Other identifiers 1

IdentifierTypeStateIssuer
340160000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000168 FL Part B Supplier - Clinic/Group Practice 3971572793 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Miami Gardens, FL; Miami Lakes, FL; Miami Springs, FL; Miramar, FL; Hialeah, FL; Hialeah Gardens, FL

National Provider Directory

National Provider Directory

Locations

25 W 26th St
Hialeah, FL 33010
Phone (305) 884-4002

801 W 48th St
#B
Hialeah, FL 33012
Phone (305) 828-2288

2291 W 78th St
Hialeah, FL 33016
Phone (305) 606-2336

447 E 26th St
Hialeah, FL 33013
Phone (305) 691-2083

613 E 49th St
Hialeah, FL 33013
Phone (305) 828-2288

12975 W Okeechobee Rd
Unit 4
Hialeah Gardens, FL 33018
Phone (305) 820-0805

6744 SW 22nd St
Miami, FL 33155
Phone (305) 267-0073

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1891781332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131963",
            "telephone_number": "305-828-2288",
            "fax_number": "305-828-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131963",
            "telephone_number": "305-828-2288",
            "fax_number": "305-828-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTO J ACOSTA PODIATRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-2288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340160000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.