Family name Acostha (Acostha 
) , globally, is a very rare last name. The last name Acostha is characteristic of Latin America and the Caribbean, particularly Colombia, where it is a very rare surname, and Mexico, where it is an extremely rare surname. Much less frequently, Acostha is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Acostha | Mexico, Colombia, Philippines |