MEDICARE: ELIZABETH PEREZ ACOSTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	945533	TX
2	363LF0000X	Family Nurse Practitioner	1143900	TX

General Provider Information

NPI Number	:	1427615228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH PEREZ ACOSTA

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	726-240-6949
Fax Number	:	210-761-3397

Provider Business Practice Location Address
First Line	:	122 SAINT CLOUD RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-5009
Country	:	US
Telephone Number	:	726-240-6949
Fax Number	:	210-761-3397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2019
Last Update Date	:	03/26/2026

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