MEDICARE: DR. DANIEL ACOSTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		TX
2	174400000X	Specialist	G4770	TX
3	207RG0100X	Gastroenterology Physician	G4770	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275539405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ACOSTA M.D.

Provider Business Mailing Address
First Line	:	718 ELIZABETH ST FL 3
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2212
Country	:	US
Telephone Number	:	361-884-2858
Fax Number	:	361-879-9015

Provider Business Practice Location Address
First Line	:	718 ELIZABETH ST
Second Line	:	FLOOR 3
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2212
Country	:	US
Telephone Number	:	361-884-2858
Fax Number	:	361-879-9015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/02/2026

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Directions to “ DR. DANIEL ACOSTA M.D.” Practice Location

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