Individual
ELISEO ACOSTA ENRRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7135 SW 117TH AVE FL 33183, MIAMI, FL 33183-2802
(305) 596-4105
Mailing address
7135 SW 117TH AVE FL 33183, MIAMI, FL 33183-2802
(305) 596-4105
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1170
FL
208D00000X
General Practice Physician
Primary
ME164310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108255400
—
FL
01
—
M9167
MEDICARE
—
Enumeration date
02/27/2019
Last updated
02/12/2026
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