Individual provider Active NPI

Raul Arturo Acosta, M.D.

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1912045378
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8806 Issued in PR
Practice address
Urb. Mendez Marginal #6 Suite 1
Yabucoa, PR 00767
Phone
(787) 266-0242
Fax
(787) 893-5548
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8806 PR Primary

Addresses

Primary practice location

Urb. Mendez Marginal #6 Suite 1
Yabucoa, PR 00767

Mailing address

PO Box 2110
Yabucoa, PR 00767-2110
Phone (787) 449-0413

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
I20080425000054 PR Practitioner - General Practice 3678651031 Practice locations: Yabucoa, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Urb Mendez Marginal
Yabucoa, PR 00767

Urb Mendez
Marginal 6 Suite 1
Yabucoa, PR 00767
Phone (787) 266-0242

Urb Mendez Marginal 6
Suite 1
Yabucoa, PR 00767

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8806PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1912045378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2110",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007672110",
            "telephone_number": "787-449-0413",
            "fax_number": "787-893-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. MENDEZ MARGINAL #6 SUITE 1",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-266-0242",
            "fax_number": "787-893-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "RAUL",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.