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NPI Code Detail

MEDICARE: DR. GILBERTO ACOSTA M.D.

MEDICARE: DR. GILBERTO ACOSTA M.D.
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME 80978FL

Other Identifiers

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

General Provider Information

NPI Number : 1669475356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERTO ACOSTA M.D.
Provider Business Mailing Address
First Line : 11350 MCCORMICK RD STE 501
Second Line :
City : HUNT VALLEY
State : MD
Zip : 21031-1002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7964 SUMMERLIN LAKES DRIVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1816
Country : US
Telephone Number : 239-333-1177
Fax Number : 239-333-1169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/16/2022

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