Individual
DR. EMMANUEL G ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 S MARYLAND PKWY STE 215, LAS VEGAS, NV 89109-1565
(702) 248-6850
(702) 685-7242
Mailing address
2770 S MARYLAND PKWY STE 215, LAS VEGAS, NV 89109-1565
(702) 248-6850
(702) 685-7242
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10462
NV
208100000X
Physical Medicine & Rehabilitation Physician
ME 67043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10462
STATE OF NEVADA MEDICAL LICENSE
NV
01
—
ME67043
STATE OF FLORIDA MEDICAL
FL
Enumeration date
07/12/2006
Last updated
07/27/2011
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