Doctor Name: | DR. JASON ACOSTA |
NPI Number: | 1689033201 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13732I |
Business Practice Address: | Calle Hernandez Carrion Urb Atenas Manati Medical Center Manati, PR - 00674 |
Business Phone Number: | 7876213700 |
Business Fax Number: | |
Mailing Address: | I8 Cond Villas De Playa 2, DORADO |
State: | PR |
Postal Code: | 006466518 |
Phone Number: | 7873250758 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13732I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |