Centro Neurodiagnostico, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

4731 Issued in PR

Legal business name

CENTRO NEURODIAGNOSTICO, INC.

Practice address

A2 Calle Lodi
Villa Luarca
San Juan, PR 00924-3804

Phone

(787) 751-5955

Fax

(787) 767-0516

NPI assigned

Oct 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Norma E Agosto, M.D.

Title

President

Phone

(787) 751-5955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norma E Agosto-Maury, MD

  • Clinical Neurophysiology Physician
  • San Juan, PR
  • NPI 1679531206
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1093041444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A2 CALLE LODI",
            "address_2": "VILLA LUARCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243804",
            "telephone_number": "787-751-5955",
            "fax_number": "787-767-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A2 CALLE LODI",
            "address_2": "VILLA LUARCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243804",
            "telephone_number": "787-751-5955",
            "fax_number": "787-767-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO NEURODIAGNOSTICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-751-5955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Medico del Turabo, Inc. (HIMA San Pablo - Cupey)
• Centro Medico del Turabo, Inc. (HIMA San Pablo - Cupey)
• Centro Medicos Unidos de Aguada
• Centro Medicos Unidos del Oeste
• Centro Neurobiofisiologico de PR
• Centro Neurologico del Caribe, LLC.
• Centro Oftalmologico Metropolitano CSP
• Centro Oftalmologico Metropolitano CSP
• Centro Oncologia Y Hematologia
• Centro Pediatrico Las Americas C.S.P.

• Physiological Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Physiological Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.