Active NPIIndividual providerSole proprietor

Dr. Ivan R Acosta Sr., MD

Internal Medicine in San German, Puerto Rico

NPI Number1477616167
Practice location
Calle Tetuan#4, San German, PR 00683
Fax
787-264-4221
Last updated
July 8, 2007

Ivan Rafael Acosta is an Internal Medicine based in San German, PR. Ivan Rafael Acosta practices in San German, PR and has the professional credentials of MD. The NPI Number for Ivan Rafael Acosta is 1477616167 and holds a License No. 6485 (PR). The current practice location address for Ivan Rafael Acosta is Calle Tetuan#4, San German, PR 00683 and can be reached out via phone at 787-892-5730 and via fax at 787-264-4221.

Provider Profile Details

NPI Number
1477616167
Provider Name
Ivan Rafael Acosta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Calle Tetuan#4, San German, PR 00683
Phone Number
787-892-5730
Fax Number
787-264-4221
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Tetuan#4
San German, PR 00683
Zip
00683
Phone Number
787-892-5730
Fax Number
787-264-4221
San German, PR 00683Get directions →

Provider Business Mailing Address Details

Address
Po Box 1477
San German, PR 00683-1477
City
San German
State
PR
Zip
00683-1477
Phone Number
787-892-5730
Fax Number
787-264-4221

License Information

License Number
6485
License State
PR
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivan R Acosta Sr., MD?

The NPI number of Dr. Ivan R Acosta Sr., MD is 1477616167. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan R Acosta Sr., MD?

Dr. Ivan R Acosta Sr., MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 6485.

Where does Dr. Ivan R Acosta Sr., MD practice?

The practice location is Calle Tetuan#4, San German, PR 00683. The office can be reached at 787-892-5730 (phone) or 787-264-4221 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477616167 directly on the NPPES registry website.

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