MEDICARE: MIGUEL EDUARDO ACOSTA MARTINEZ APRN

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	363LA2100X	Acute Care Nurse Practitioner	11023129	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11023129	OTHER	FL	FLORIDA BOARD OF NURSING

General Provider Information

NPI Number	:	1437869120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL EDUARDO ACOSTA MARTINEZ APRN

Provider Business Mailing Address
First Line	:	188 W 30TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5415
Country	:	US
Telephone Number	:	305-469-7385
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 W 30TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5415
Country	:	US
Telephone Number	:	305-469-7385
Fax Number	:

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

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	09/23/2025

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