| Acosta Medical Llc | |
|
2550 Samaritan Dr Ste 205 Las Cruces NM 88001-1170 | |
| (575) 649-1737 | |
| Not Available |
| Full Name | Acosta Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2550 Samaritan Dr Ste 205, Las Cruces, New Mexico |
| Authorized Official Name and Position | Steven L Acosta (OWNER) |
| Authorized Official Contact | 5756491737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acosta Medical Llc 2550 Samaritan Dr Ste 205 Las Cruces NM 88001-1170 Ph: (575) 649-1737 | Acosta Medical Llc 2550 Samaritan Dr Ste 205 Las Cruces NM 88001-1170 Ph: (575) 649-1737 |
| NPI Number | 1316519937 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 8729483425 |
|---|---|
| Medicare Enrollment ID | O20210818002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316519937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven L Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861531865 PECOS PAC ID: 9032202601 Enrollment ID: I20070912000723 |
| Provider Name | Samantha Lyn Bustillos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689246159 PECOS PAC ID: 2567852833 Enrollment ID: I20211130001405 |
| Provider Name | Regina Galindo Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300501 PECOS PAC ID: 7416342282 Enrollment ID: I20220314000319 |
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