Provider Demographics
NPI:1922201292
Name:RIVERA-ACOSTA, JOSE E (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:E
Last Name:RIVERA-ACOSTA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:TORRE MEDICA AUXILIO MUTUO 735 AVE. PONCE DE LEON
Mailing Address - Street 2:SUITE 816
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5029
Mailing Address - Country:US
Mailing Address - Phone:787-763-1025
Mailing Address - Fax:787-763-1035
Practice Address - Street 1:TORRE MEDICA AUXILIO MUTUO, 735 AVE. PONCE DE LEON
Practice Address - Street 2:SUITE 816
Practice Address - City:SANJUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5029
Practice Address - Country:US
Practice Address - Phone:787-763-1025
Practice Address - Fax:787-763-1035
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2015-06-23
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Provider Licenses
StateLicense IDTaxonomies
PR17183207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine