Healthcare Provider Details

I. General information

NPI: 1740944065
Provider Name (Legal Business Name): LILYBETH FIGUEROA ACOSTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 308 KM.0.3 AVENIDA SANTOS ORTIZ MONTALVO SAN JOSE PLAZA, SUITE 107
CABO ROJO PR
00623-4253
US

IV. Provider business mailing address

CARR 308 KM.0.3 AVENIDA SANTOS ORTIZ MONTALVO SAN JOSE PLAZA, SUITE 107, 00623-4253
CABO ROJO PR
00623-4253
US

V. Phone/Fax

Practice location:
  • Phone: 939-935-9840
  • Fax: 939-935-9841
Mailing address:
  • Phone: 939-935-9840
  • Fax: 939-935-9841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22558
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: