Healthcare Provider Details

I. General information

NPI: 1891012944
Provider Name (Legal Business Name): MIGDALIA ACOSTA FIGUEROA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSP. PSIQUIATRIA FORENSE-PONCE APARTADO 7321
PONCE PR
00731-0000
US

IV. Provider business mailing address

CALLE 4 D-26 URB. TIBES
PONCE PR
00730-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-0101
  • Fax:
Mailing address:
  • Phone: 787-402-2344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number016366
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: