# CARLOS R ACOSTA JIMENEZ PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336465368
- **Authorized official:** CARLOS ACOSTA (PRESIDENT)
- **Authorized official phone:** (787) 758-0023

## Contact information

- **Practice address:** 320 CALLE ELEONOR ROOSEVELT, SAN JUAN, PR 00918-2718
- **Practice address phone:** (787) 758-0023
- **Mailing address:** PO BOX 363513, SAN JUAN, PR 00936-3513
- **Mailing address phone:** (787) 758-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 08/31/2011