MEDICARE: HEANNY SANCHEZ 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	164W00000X	Licensed Practical Nurse	LN1005290	MA

General Provider Information

NPI Number	:	1548193667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEANNY SANCHEZ ACOSTA

Provider Business Mailing Address
First Line	:	1770 MASSACHUSETTS AVE APT 128
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02140-2808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 CAMBRIDGEPARK DR
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02140-2485
Country	:	US
Telephone Number	:	857-415-0026
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ HEANNY SANCHEZ ACOSTA ” Practice Location

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