Individual
DR. JOSE ANTONIO ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
M9 CALLE ARGENTINA, GUAYNABO, PR 00969-3419
(787) 518-3196
Mailing address
PO BOX 2042, GUAYNABO, PR 00970-2042
(787) 518-3196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640255
DRIVERS LICENCE
PR
Enumeration date
05/19/2021
Last updated
05/19/2021
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