Provider Demographics
NPI:1861531865
Name:ACOSTA, STEVEN L (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:ACOSTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3485 NORTHRISE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-6839
Mailing Address - Country:US
Mailing Address - Phone:575-382-2161
Mailing Address - Fax:575-382-2172
Practice Address - Street 1:3485 NORTHRISE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-6839
Practice Address - Country:US
Practice Address - Phone:575-382-2161
Practice Address - Fax:575-382-2172
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0789207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM95584722Medicaid
NM321001YY54Medicare PIN