Healthcare Provider Details

I. General information

NPI: 1518253186
Provider Name (Legal Business Name): LILLYBETH A BIRRIEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LILLYBETH ACOSTA

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 AVE PONCE DE LEON SUITE 205 PMB 10677
SAN JUAN PR
00907
US

IV. Provider business mailing address

954 AVE PONCE DE LEON SUITE 205 PMB 10677
SAN JUAN PR
00907
US

V. Phone/Fax

Practice location:
  • Phone: 610-216-5567
  • Fax: 939-545-8035
Mailing address:
  • Phone: 610-216-5567
  • Fax: 939-545-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number024844
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD453211
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: