Provider Demographics
NPI:1700468584
Name:AGOSTO ENDOCRINOLOGY
Entity type:Organization
Organization Name:AGOSTO ENDOCRINOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANARDI
Authorized Official - Middle Name:AUGUSTO
Authorized Official - Last Name:AGOSTO MUJICA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-876-5494
Mailing Address - Street 1:75 CALLE EUSEBIO ITURRINO
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3221
Mailing Address - Country:US
Mailing Address - Phone:787-876-5494
Mailing Address - Fax:787-905-7908
Practice Address - Street 1:CDT CANOVANAS
Practice Address - Street 2:CALLE CORCHADO FINAL
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-2003
Practice Address - Country:US
Practice Address - Phone:787-876-5494
Practice Address - Fax:787-905-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty