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Contact Information

AGOSTO ALLERGY AND IMMUNOLOGY CSP
109 AVE JOSE DE DIEGO E
ESQUINA CARRION MADURO
CAYEY, PR00736-3822
 Phone: 787-635-4374
 Fax: 787-635-4374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AGOSTO ALLERGY AND IMMUNOLOGY CSP · (Female)

NPI Number 1124314760
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2011
Last updated 08/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME93943
  • PR License # 15888
  • FL Medicaid 273367600
  • Other 28690 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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