Andrea Agosto
Individual provider Active NPI Pharmacist · Manati, PR
NPI 1093659435 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1093659435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8484 (PR)
- Practice address
- Carr 685 KM 1.9
Bo Tierras Nuevas
Manati, PR 00674 - Phone
- (787) 854-4805
- NPI assigned
- Apr 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8484 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8484 | PR | Yes |
Addresses
Primary practice location
Carr 685 KM 1.9
Bo Tierras Nuevas
Manati, PR 00674
Mailing address
PO Box 1019
Manati, PR 00674-1019
Phone (787) 854-4805
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.