Healthcare Provider Details

I. General information

NPI: 1942113923
Provider Name (Legal Business Name): ALEJANDRO ACOSTA RIVERA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CALLE COMERIO LUNA AVENIDA UNIVERSIDAD INTERAMERICANA
SAN GERMAN PR
00683
US

IV. Provider business mailing address

PO BOX 869
CABO ROJO PR
00623-0869
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-0005
  • Fax:
Mailing address:
  • Phone: 787-890-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO ACOSTA
Title or Position: OWNER
Credential: MD
Phone: 787-892-0005