Acosta, Ileana

Acosta, Ileana is an sole proprietor health care provider with primary practice located at 401 Sw 42Nd Ave Ste 300 , Coral Gables FL 33134-1938. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Acosta, Ileana can be contacted via phone (305) 872-0008.

Contact Information

Primary practice address
401 Sw 42Nd Ave Ste 300 Coral Gables FL 33134-1938
Fax: (305) 928-1112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN656 Florida

Profile Details

NPI number 1932502671
LBN Legal business name Acosta, Ileana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2014
Last updated Oct 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932502671 NPPES
Florida MEDICAID 112-154-400

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