Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
ANDRES MARTIN ACOSTA
Active
Individual
ANDRES MARTIN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
273737
MA
207ZP0101X
Anatomic Pathology Physician
Primary
01088583A
IN
208D00000X
General Practice Physician
33128-1
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275948127
ANTHEM PTAN
IN
05
—
300069964
—
IN
Enumeration date
06/29/2014
Last updated
05/05/2025
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