Active NPI
Lourdes Diaz Agosto, RN
- Registered Nurse
- Caguas, PR
National Provider Identifier
1124285937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 15646
- Practice address
- Ave Gautier Benitez Edif Angora #162
Caguas, PR 00725 - Phone
- (787) 641-0774
- Fax
- (787) 641-0776
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 15646 | PR | Primary |
Addresses
Primary practice location
Ave Gautier Benitez Edif Angora #162
Caguas, PR 00725
Mailing address
PO Box 71474
Aps Healthcare PR
San Juan, PR 00936-8574
Phone (787) 641-0774
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15646 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1124285937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71474",
"address_2": "APS HEALTHCARE PR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368574",
"telephone_number": "787-641-0774",
"fax_number": "787-641-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE GAUTIER BENITEZ EDIF ANGORA #162",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-641-0774",
"fax_number": "787-641-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ AGOSTO",
"first_name": "LOURDES",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "15646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.