| Doctor Name: | DR. ONNIS ACOSTA |
| NPI Number: | 1144273459 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14941 |
| Business Practice Address: | 800 Ave Hipodromo San Juan, PR - 009092534 |
| Business Phone Number: | 7877215964 |
| Business Fax Number: | |
| Mailing Address: | Cond Estancias Chalets, 193 Tortosa Apt. 28 SAN JUAN |
| State: | PR |
| Postal Code: | 009262371 |
| Phone Number: | 7873596637 |
| Fax Number: | 1800508064 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 10/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |