Provider Demographics
NPI:1609250364
Name:ACOSTA, NELSI NOEMI (RRT)
Entity Type:Individual
Prefix:MS
First Name:NELSI
Middle Name:NOEMI
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2498 NE 3RD CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6004
Mailing Address - Country:US
Mailing Address - Phone:305-393-9716
Mailing Address - Fax:
Practice Address - Street 1:2498 NE 3RD CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6004
Practice Address - Country:US
Practice Address - Phone:305-393-9716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered