Healthcare Provider Details

I. General information

NPI: 1154018349
Provider Name (Legal Business Name): LUIS ACOSTA NUNEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 59TH PL
WEST DES MOINES IA
50266-7737
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-247-4240
  • Fax: 515-247-4239
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-247-4239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR-12925
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number55930
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: