| Jaime Acosta Llc | |
|
253 Ne 2nd St Apt 1704 Miami FL 33132-2292 | |
| (786) 525-7470 | |
| (786) 796-5253 |
| Full Name | Jaime Acosta Llc |
|---|---|
| Speciality | Social Worker |
| Location | 253 Ne 2nd St Apt 1704, Miami, Florida |
| Authorized Official Name and Position | Jaime Leon Acosta (DIRECTOR) |
| Authorized Official Contact | 7865257470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Acosta Llc 253 Ne 2nd St Apt 1704 Miami FL 33132-2292 Ph: (786) 525-7470 | Jaime Acosta Llc 253 Ne 2nd St Apt 1704 Miami FL 33132-2292 Ph: (786) 525-7470 |
| NPI Number | 1699017459 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 7719123025 |
|---|---|
| Medicare Enrollment ID | O20130411000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699017459 | NPI | - | NPPES |
| E1835B | Other | FL | MEDICARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jaime L Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316960800 PECOS PAC ID: 9537148325 Enrollment ID: I20040715000774 |
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