Acosta, Jose David

Acosta, Jose David is an sole proprietor health care provider with primary practice located at 73 Calle 2 , Vega Alta PR 00692-5761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Acosta, Jose David can be contacted via phone (939) 257-7874.

Contact Information

Primary practice address
73 Calle 2 Vega Alta PR 00692-5761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 248 Puerto Rico

Profile Details

NPI number 1265070957
LBN Legal business name Acosta, Jose David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2019
Last updated Dec 13th, 2019 - about 5 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 1265070957 NPPES
Puerto Rico MEDICAID PA-248

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