Agosto Allergy and Immunology CSP

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

15888 Issued in PR

Legal business name

AGOSTO ALLERGY AND IMMUNOLOGY CSP

Practice address

109 Ave Jose de Diego E
Esquina Carrion Maduro
Cayey, PR 00736-3822

Phone

(787) 635-4374

Fax

(787) 635-4374

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Anardi Agosto-Mujica, M.D.

Title

President

Phone

(787) 403-3611

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anardi Agosto-Mujica, MD

  • Allergy & Immunology Physician
  • Cayey, PR
  • NPI 1215901426
  Medicare reassignment NPD
• Anardi Augusto Agosto Mujica, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cayey, PR
  • NPI 1487053385
  NPD (past)
• Jose I Garrido Sr., M.D.

  • Neurology Physician
  • Aibonito, PR
  • NPI 1306862651
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1124314760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CALLE EUSEBIO ITURRINO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293221",
            "telephone_number": "787-635-4374",
            "fax_number": "787-905-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 AVE JOSE DE DIEGO E",
            "address_2": "ESQUINA CARRION MADURO",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363822",
            "telephone_number": "787-635-4374",
            "fax_number": "787-635-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOSTO ALLERGY AND IMMUNOLOGY CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "AGOSTO-MUJICA",
        "authorized_official_first_name": "ANARDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-403-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "15888",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15888",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15888",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273367600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Institute of Audiology Pro-Hearing and Audiology Consultants
• Advanced MRI Group of PR
• Advanced MRI Group of PR,P.S.C.
• Advanced OB-GYN PSC
• Advanced Rehab Chiropractic, LLC
• Agosto Diabetes-Thyroid and Endocrinology CSP
• Anardi Augusto Agosto Mujica, M.D.
• Anardi Agosto-Mujica, MD
• Marielba Agosto, M.D.
• Ivelisse Alejandro, OD

• Allergy & Immunology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Allergy & Immunology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.