Acosta, Jadiyer Olga

Acosta, Jadiyer Olga is an sole proprietor health care provider with primary practice located at 10300 Sw 216Th St , Cutler Bay FL 33190-1003. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Acosta, Jadiyer Olga can be contacted via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Cutler Bay FL 33190-1003
Phone: (305) 253-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 125741 Florida

Profile Details

NPI number 1457766065
LBN Legal business name Acosta, Jadiyer Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2014
Last updated Aug 25th, 2016 - about 9 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 1457766065 NPPES
Florida MEDICAID 016695800

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