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NPI Code Detail

MEDICARE: PROF. JOHARMIN ACOSTA COUNSELOR

MEDICARE: PROF. JOHARMIN ACOSTA COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor1182PR

General Provider Information

NPI Number : 1407043144
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. JOHARMIN ACOSTA COUNSELOR
Provider Business Mailing Address
First Line : PO BOX 560303
Second Line :
City : GUAYANILLA
State : PR
Zip : 00656-0303
Country : US
Telephone Number : 787-835-1257
Fax Number : 787-835-1257
Provider Business Practice Location Address
First Line : 445 AVE GONZALEZ CLEMENTE
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00682-1136
Country : US
Telephone Number : 787-901-0468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2007
Last Update Date : 09/26/2007

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