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Physician Compare National (NPI:1821092586)

HEALTHCARE PROVIDER: CARLOS A ACOSTA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1821092586
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355426438
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080313000367
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ACOSTA
Individual professional last name
Provider First Name CARLOS
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address EDIF MEDICO HERMANAS DAVILA
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 207
Group Practice or individual's line 2 address
City BAYAMON
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 009595041
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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