Provider Demographics
NPI:1962729665
Name:ACOSTA, RIGOBERTO ANTONIO (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:RIGOBERTO
Middle Name:ANTONIO
Last Name:ACOSTA
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:3200 SW 60TH CT STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4069
Mailing Address - Country:US
Mailing Address - Phone:305-669-6448
Mailing Address - Fax:305-663-8485
Practice Address - Street 1:3200 SW 60TH CT STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4069
Practice Address - Country:US
Practice Address - Phone:305-669-6448
Practice Address - Fax:305-663-8485
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9102383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant