| Doctor Name: | ILEANA ACOSTA |
| NPI Number: | 1932502671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 18891 |
| Business Practice Address: | 61 Hook Sq Miami Springs, FL - 331664401 |
| Business Phone Number: | 3058848880 |
| Business Fax Number: | 7868665984 |
| Mailing Address: | Po Box 520566, MIAMI |
| State: | FL |
| Postal Code: | 331520566 |
| Phone Number: | 3054948275 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2014 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18891 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |