Individual
DR. JOSE DAVID ACOSTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 CALLE 2, VEGA ALTA, PR 00692-5761
(939) 257-7874
Mailing address
73 CALLE 2, VEGA ALTA, PR 00692-5761
(939) 257-7874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
248
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA-248
—
PR
Enumeration date
12/13/2019
Last updated
12/13/2019
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