Healthcare Provider Details

I. General information

NPI: 1386601854
Provider Name (Legal Business Name): JOSE IGNACIO ACOSTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26085 S DIXIE HWY
HOMESTEAD FL
33032-6613
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 305-685-5688
  • Fax: 786-761-8385
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME81117
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: