Provider Demographics
NPI:1154828937
Name:ACOSTA MARTINEZ, DIONISIO LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:DIONISIO
Middle Name:LUIS
Last Name:ACOSTA MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:273 CALLE HONDURAS APT 706
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE JAIME ACOSTA AVELARDE
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-6561
Practice Address - Country:US
Practice Address - Phone:787-833-3196
Practice Address - Fax:708-797-7218
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR21478207RI0200X
FLME161601207RI0200X, 207RI0200X
PR14886390200000X
FL161601390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program