Individual provider Active NPI

Pedro Luis Agosto Martinez, MS, LP

  • Counseling Psychologist
  • Juncos, PR
National Provider Identifier
1104716422
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
008334 Issued in PR
Practice address
Urb. El Encanto 111 Calle Azahar
Juncos, PR 00777-7719
Phone
(787) 907-2798
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 008334 PR Primary

Addresses

Primary practice location

Urb. El Encanto 111 Calle Azahar
Juncos, PR 00777-7719

Mailing address

Urb. El Encanto 111 Calle Azahar
Juncos, PR 00777-7719
Phone (787) 907-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008334PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1104716422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EL ENCANTO 111 CALLE AZAHAR",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777719",
            "telephone_number": "787-907-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL ENCANTO 111 CALLE AZAHAR",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777719",
            "telephone_number": "787-907-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO MARTINEZ",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "credential": "MS, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "008334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.