Mario Alfonso Agrait, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10333 Issued in PR

Practice address

L17 Ave Magnolia
Magnolia Gardens
Bayamon, PR 00956-2606

Phone

(787) 635-0889

Fax

(787) 720-6680

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124165279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360414",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360414",
            "telephone_number": "787-635-0889",
            "fax_number": "787-720-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L17 AVE MAGNOLIA",
            "address_2": "MAGNOLIA GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562606",
            "telephone_number": "787-635-0889",
            "fax_number": "787-720-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAIT",
        "first_name": "MARIO",
        "middle_name": "ALFONSO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "10333",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jomarys Ainniz Agosto Cuevas, SPL
• Dianne Agosto, OTR/L
• Widalys Agosto, RPH
• Yesenia Agosto, PHT
• Miguel F. Agrait Gonzalez, M.D.
• Sandra I Aguayo Cedeno, MD
• Karen Aguayo
• Pamela Nicole Aguayo
• Krislane Aguilar
• Carla Victoria Aguilu, PSY.D

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.