Individual
DR. IVAN RAFAEL ACOSTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE TETUAN#4, SAN GERMAN, PR 00683
(787) 892-5730
(787) 264-4221
Mailing address
PO BOX 1477, SAN GERMAN, PR 00683-1477
(787) 892-5730
(787) 264-4221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6485
PR
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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