# RR ACOSTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glee Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336976810
- **Authorized official:** REYNALDO RUEDA ACOSTA APRN (NP)
- **Authorized official phone:** (786) 665-6567

## Contact information

- **Practice address:** 8748 SW 8TH ST, MIAMI, FL 33174-3201
- **Practice address phone:** (786) 665-6567
- **Practice address fax:** (540) 304-2393
- **Mailing address:** 10500 SW 108TH AVE APT B207, MIAMI, FL 33176-8603
- **Mailing address phone:** (786) 307-9365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 10/13/2025
