Annette Medina-Agostini, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11313 Issued in PR

Practice address

43 Ave Severiano Cuevas
Suite 1
Aguadilla, PR 00603-5766

Phone

(787) 891-4865

Fax

(787) 891-4865

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114941945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AVE SEVERIANO CUEVAS",
            "address_2": "SUITE 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035766",
            "telephone_number": "787-891-4865",
            "fax_number": "787-891-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 AVE SEVERIANO CUEVAS",
            "address_2": "SUITE 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035766",
            "telephone_number": "787-891-4865",
            "fax_number": "787-891-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-AGOSTINI",
        "first_name": "ANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicina Audaz, Inc.
• Medicruz, LLC
• Astrid Medina Caban
• Onellys M Medina Garcia, LND
• Marielis Medina Rosa, RPH
• Ismael Medina-Agostini, MD
• Ismael Medina-Gaud, M.D.
• Medstar Ambulance Service Inc.
• Maria Mejias
• Belinda Mendez, MS, OTL

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.