Across the world, Macias Acosta (Macias Acosta 
) is an extremely rare unknown gender first name. Predominantly, Macias Acosta is the last name as well as the forename.
| VARIANT | COUNTRY |
|---|---|
| Macias Acosta | Mexico, Spain, Ecuador |
Mario, Alexa, Agustin, Patricia, Alba Fidelita, Reina Yekelin, Josue Abraham, Juan Carlos, Maria Isabel, Miguel Angel, and Cindy Mariel