Doctor Name: | HECTOR DAVID ACOSTA HERNANDEZ |
NPI Number: | 1720277924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 007607 |
Business Practice Address: | C/munoz Rivera #1 Vega Alta, PR - 00692 |
Business Phone Number: | 7872704838 |
Business Fax Number: | 7872704972 |
Mailing Address: | Po Box 459, VEGA ALTA |
State: | PR |
Postal Code: | 006920459 |
Phone Number: | 7872704838 |
Fax Number: | 7872704972 |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 007607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |