| Organization Name: | WAIKA ACOSTA NAZARIO-MEDICINA GENERAL, C.S.P. |
| NPI Number: | 1609136357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAIKA YAJAIRA ACOSTA (PRESIDENT) |
| Mailing Address: | #18 Carro Street Suit 101, Estrella Corner San German |
| State: | PR US |
| Postal Code: | 00683 |
| Phone Number: | 7873759160 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |