ACOSTA MEDICAL GROUP LLC (NPI# 1396389862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396389862 |
Entity Type | Organization |
Organization Name | ACOSTA MEDICAL GROUP LLC |
Practice Address |
Suite 1 Calle Marginal Urb Mendez #6 Yabucoa PR 00767 |
Mailing Address |
Po Box 2110 Yabucoa PR 00767-2110 |
Practice Telephone | 7872660242 |
Practice Fax Number | 7878935548 |
Mailing Telephone | 7872660242 |
Mailing Fax Number | 7878935548 |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |
Authorized Official Name | RAUL ACOSTA (PRESIDENT) |
Authorized Official Telephone | 7879146875 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
DR. RAUL A. ACOSTA LUCCA | Doing Business As Name - Organization |
Street Address |
SUITE 1 CALLE MARGINAL URB MENDEZ #6 |
City | YABUCOA |
State | PR |
Zip Code | 00767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790394286 | Gretchen Lorraine Nieves-burgos | Student in an Organized Health Care Education/Training Program | Bo Juan Martin Carr 901 Km1, Yabucoa, PR 00767 | 2020-07-30 |
1598385254 | Cossma, Inc. | Clinic/Center | Bo Juan Martin Carr 901 Km 1.6, Yabucoa, PR 00767 | 2020-04-23 |
1790311181 | Victor Rodriguez | General Practice | Pr-3 Km 98.2, Bo Juan Martin, Yabucoa, PR 00767 | 2020-03-17 |
1285267609 | W V P Medical Services Psc | Pediatrics | Bo. Juan Martin Km 97.3, Calle 3, Yabucoa, PR 00767 | 2020-02-13 |
1376104349 | Hanoc Baez Ortiz | Speech-Language Pathologist | Calle El Sol Car 3 Int 908, Bo Aguacate, Yabucoa, PR 00767 | 2019-06-21 |
1265096044 | Hospital Menonita Caguas Inc | Clinic/Center | Carr 901 Km 5 Salida Hacia Camino Nuevo, Yabucoa, PR 00767 | 2019-04-26 |
1659832095 | Jaime Marchena | Counselor | Carr 901 Km 1.6, Bo Juan Martin, Yabucoa, PR 00767 | 2019-03-28 |
1821568221 | Farmacia Los Angeles,inc | Pharmacy | Calle Cristobal Colon # 18, Yabucoa, PR 00767 | 2018-11-28 |
1437627585 | Sherly Marie Rivera | Registered Nurse | Juan Martin Sector Los Casanovas, Yabucoa, PR 00767 | 2018-11-07 |
1104318054 | Cardio Vasc Imaging Corp. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 35 Calle Baldorioty Esquina Francisco Sustache, Yabucoa, PR 00767 | 2018-06-05 |
Find all providers in zip 00767 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306454566 | Julio Elvin Estrada Serrano | General Practice | 10 Calle Cristobal Colon, Yabucoa, PR 00767-3332 | 2020-07-14 |
1790311181 | Victor Rodriguez | General Practice | Pr-3 Km 98.2, Bo Juan Martin, Yabucoa, PR 00767 | 2020-03-17 |
1255799193 | Javier Sanchez-ortiz | General Practice | Hc 2 Box 8729, Yabucoa, PR 00767-9305 | 2016-02-06 |
1306251491 | Germariliz Diaz Martinez | General Practice | Urb. Mendez #2, Istituto Pediatrico Oficina 5, Yabucoa, PR 00767 | 2014-06-26 |
1407081854 | Brendaliz Santaella Cruz | General Practice | Local #3 Calle Marginal, Urbanizacion Mendez, Yabucoa, PR 00767-0000 | 2009-05-28 |
1538376769 | Jose Morales Claudio | General Practice | Bo Playitas Parcelas Viejas, Yabucoa, PR 00767 | 2007-05-17 |
1568589273 | Ruben Sepulveda Rivas | General Practice | 8 Calle Saturnino Rodriguez, Yabucoa, PR 00767-3517 | 2007-03-26 |
1912045378 | Raul Arturo Acosta | General Practice | Urb. Mendez Marginal #6 Suite 1, Yabucoa, PR 00767 | 2007-02-01 |
1972658516 | Awilda Solis Diaz | General Practice | Cristobal Colon St, Suite 10, Yabucoa, PR 00767 | 2007-01-24 |
1124170774 | Elvin Alvarado | General Practice | 41 Calle Cristobal Colon, Yabucoa, PR 00767-3324 | 2007-01-16 |
Find all providers in YABUCOA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.