MEDICARE: MARIA ACOSTA M.S. OTR/L

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	225XP0200X	Pediatric Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619205895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ACOSTA M.S. OTR/L

Provider Business Mailing Address
First Line	:	1615 W 57TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6824
Country	:	US
Telephone Number	:	786-344-0500
Fax Number	:	305-949-4833

Provider Business Practice Location Address
First Line	:	1615 W 57TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6824
Country	:	US
Telephone Number	:	786-344-0500
Fax Number	:	305-949-4833

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

Provider Enumeration Date	:	11/25/2009
Last Update Date	:	04/23/2024

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