Provider Demographics
NPI:1861426306
Name:ACOSTA, ROBERTO J (MD, PA)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:J
Last Name:ACOSTA
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 MILITARY TRL STE 204
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7830
Mailing Address - Country:US
Mailing Address - Phone:561-845-7770
Mailing Address - Fax:561-842-2988
Practice Address - Street 1:2055 MILITARY TRL STE 204
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7830
Practice Address - Country:US
Practice Address - Phone:561-845-7770
Practice Address - Fax:561-842-2988
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70007207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41324OtherBCBS INDIVIDUAL ID
FL252401500Medicaid
FL200045085OtherRAILROAD MEDICARE
FL34524OtherBCBS GROUP ID
FL1172952OtherHERIZON MERCURY ID
FL41324OtherBCBS INDIVIDUAL ID
FL34524OtherBCBS GROUP ID
FL41324Medicare ID - Type UnspecifiedINDIVIDUAL ID