Provider Demographics
NPI:1730523234
Name:PEARSON, JOSEPHINE ACOSTA (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:ACOSTA
Last Name:PEARSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOSPITAL AMERICANO
Mailing Address - Street 2:BASE NAVAL DE ROTA, APARTADO DE CORREOS 33
Mailing Address - City:ROTA
Mailing Address - State:CADIZ
Mailing Address - Zip Code:11530
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL AMERICANO
Practice Address - Street 2:BASE NAVAL DE ROTA, APARTADO DE CORREOS 33
Practice Address - City:ROTA
Practice Address - State:CADEZ
Practice Address - Zip Code:11530
Practice Address - Country:ES
Practice Address - Phone:314-727-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine