Provider Demographics
NPI:1801305123
Name:ACOSTA INFANTE, HEIDY (MD)
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:
Last Name:ACOSTA INFANTE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 BLUE LAGOON DR STE 365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7010
Mailing Address - Country:US
Mailing Address - Phone:786-322-7333
Mailing Address - Fax:
Practice Address - Street 1:3805 W 20TH AVE STE 125
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4525
Practice Address - Country:US
Practice Address - Phone:305-224-1980
Practice Address - Fax:786-472-2994
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1306208D00000X
PR22066208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice