Healthcare Provider Details

I. General information

NPI: 1861531865
Provider Name (Legal Business Name): STEVEN L ACOSTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3485 NORTHRISE DR SUITE 1
LAS CRUCES NM
88011-6839
US

IV. Provider business mailing address

3485 NORTHRISE DR SUITE 1
LAS CRUCES NM
88011-6839
US

V. Phone/Fax

Practice location:
  • Phone: 575-382-2161
  • Fax: 575-382-2172
Mailing address:
  • Phone: 575-382-2161
  • Fax: 575-382-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD2006-0789
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: