Individual
DR. JOSE M ACOSTA-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AT6 CALLE RIO OROCOVIS, VALLE VERDE I, BAYAMON, PR 00961-3255
(787) 510-1477
(787) 795-0837
Mailing address
AT6 RIO OROCOVIS, VALLE VERDE I, BAYAMON, PR 00961-3255
(787) 510-1477
(787) 795-0837
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15358
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23100 AC
SSS
PR
Enumeration date
11/08/2006
Last updated
02/16/2011
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