Individual
DR. JOSE DAVID ACOSTA SR.
Active
Individual
DR. JOSE DAVID ACOSTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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