Individual provider · NPI-1

Teresa O Acosta Avila

Nurse Practitioner · Hialeah, FL

NPI number1164825972
StatusActive
Last updated in NPPESFeb 11, 2026

Details

NPI
1164825972
Entity type
Individual (NPI-1)
Name
Teresa O Acosta Avila
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2014
Certification date
Feb 11, 2026
Last updated
Feb 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerARNP9391839FLYes

Practice location

4175 W 20th Ave
Hialeah, FL 33012-5874

Phone 305-817-6560 · Fax 786-209-2023

Mailing address

4175 W 20th Ave
Hialeah, FL 33012-5874

Phone 305-817-6560 · Fax 786-209-2023

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