Organization Active NPI

Jose Acuna MD, P.a.

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1992068902
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100032 Issued in FL
Legal business name
JOSE ACUNA MD, P.A.
Practice address
1500 Lakeland Hills Blvd
Suite 3
Lakeland, FL 33805-3257
Phone
(863) 333-0200
Fax
(863) 937-7398
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Jose L Acuna, M.D.NPI 1780879163
Title
Owner/Physician
Phone
(863) 937-6067

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME100032 FL Primary

Addresses

Primary practice location

1500 Lakeland Hills Blvd
Suite 3
Lakeland, FL 33805-3257

Mailing address

1500 Lakeland Hills Blvd
Suite 3
Lakeland, FL 33805-3257
Phone (863) 333-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000115 FL Part B Supplier - Clinic/Group Practice 4587800099 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeland, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1992068902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAKELAND HILLS BLVD",
            "address_2": "SUITE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053257",
            "telephone_number": "863-333-0200",
            "fax_number": "863-937-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAKELAND HILLS BLVD",
            "address_2": "SUITE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053257",
            "telephone_number": "863-333-0200",
            "fax_number": "863-937-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ACUNA MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "ACUNA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "863-937-6067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.