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
Phone: (305) 872-0008
Fax: (305) 928-1112
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932502671 | NPPES |
Florida | MEDICAID | 112-154-400 |
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