Individual
DR. SURILO I ACOSTA CADENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ZA1 CALLE 36, URB. RIVERVIEW, BAYAMON, PR 00961-3929
(787) 785-2694
(787) 787-3109
Mailing address
PO BOX 51526, TOA BAJA, PR 00950-1526
(787) 785-2694
(787) 787-3109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6413
PR
208D00000X
General Practice Physician
6413
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068311
CRUZ AZUL PROVIDER
PR
01
—
27740AC
SSS PROVIDER
PR
01
—
2890
IMC PROVIDER
PR
01
—
500403E
MMM PROVIDER
PR
01
—
9500033
HUMANA PROVIDER
PR
Enumeration date
05/30/2005
Last updated
07/26/2022
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