| Agosto Allergy And Immunology Csp | |
|
109 Ave Jose De Diego E Esquina Carrion Maduro Cayey PR 00736-3822 | |
| (787) 635-4374 | |
| (787) 635-4374 |
| Full Name | Agosto Allergy And Immunology Csp |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 109 Ave Jose De Diego E, Cayey, Puerto Rico |
| Authorized Official Name and Position | Anardi Agosto-mujica (PRESIDENT) |
| Authorized Official Contact | 7874033611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agosto Allergy And Immunology Csp 75 Calle Eusebio Iturrino Canovanas PR 00729-3221 Ph: (787) 635-4374 | Agosto Allergy And Immunology Csp 109 Ave Jose De Diego E Esquina Carrion Maduro Cayey PR 00736-3822 Ph: (787) 635-4374 |
| NPI Number | 1124314760 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 4486820446 |
|---|---|
| Medicare Enrollment ID | O20111222000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124314760 | NPI | - | NPPES |
| 273367600 | Medicaid | FL | |
| 28690 | Other | BLUE CROSS BLUE SHIELD |
| Provider Name | Anardi Agosto-mujica |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215901426 PECOS PAC ID: 4587766050 Enrollment ID: I20090819000207 |
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