Provider Demographics
NPI:1255503975
Name:ACOSTA, ANA C (EMT-P)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:C
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CALLE MIOSOTI
Mailing Address - Street 2:PARCELAS IMBERY
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-3447
Mailing Address - Country:US
Mailing Address - Phone:787-207-2495
Mailing Address - Fax:
Practice Address - Street 1:2049 MUNICIPIO BARCELONETA
Practice Address - Street 2:CALLE VILLAMIL
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-846-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1679146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic