MEDICARE: MR. REINALDO ACOSTA MD

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	207VM0101X	Maternal & Fetal Medicine Physician	T1889	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GAB32999	OTHER	WA	MEDICARE GROUP
4	G8857680	OTHER	WA	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1619927571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. REINALDO ACOSTA MD

Provider Business Mailing Address
First Line	:	315 N SAN SABA STE 1135
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3255
Country	:	US
Telephone Number	:	210-704-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 N SAN SABA STE 930
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3154
Country	:	US
Telephone Number	:	210-704-3200
Fax Number	:	210-704-2718

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/14/2021

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Directions to “ MR. REINALDO ACOSTA MD” Practice Location

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