Joseph Acosta
Case Manager/Care Coordinator in Albuquerque, NM. Individual provider (NPI-1).
NPI number1396200820
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1396200820
- Entity type
- Individual (NPI-1)
- Name
- Joseph Acosta
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 171M00000X | NM | Yes |
Practice location
618 Manzano St NeAlbuquerque, NM 87110-6302
Phone 505-925-4353
Mailing address
501 Mindoro Dr SeRio Rancho, NM 87124-4316
Phone 575-202-4830
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