Keila Josefina Agramonte

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

024178 Issued in PR

Practice address

4505 Blue Tee CT Apt 202
Tampa, FL 33613-3501

Phone

(602) 884-2030

NPI assigned

Dec 2, 2024

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

Other names 1

• Keila Josefina Agramonte Professional name

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: keila.agramonte.1@30244.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GHP C.S.P.

  • Pediatrics Physician
  • Santurce, PR
  • NPI 1164738167
  NPD (past)
• San Jorge Children'S Hospital, Inc.

  • Children's Hospital
  • San Juan, PR
  • NPI 1811001613
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1184440554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BLUE TEE CT APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BLUE TEE CT APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133501",
            "telephone_number": "602-884-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAMONTE",
        "first_name": "KEILA",
        "middle_name": "JOSEFINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEILA",
            "last_name": "AGRAMONTE",
            "middle_name": "JOSEFINA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Henry E Agostini, PH.D.
• Emmanuel Agosto Arroyo, MD
• Sarimar Agosto Salgado, M.D.
• Dorothy Agoulnik
• Rosemarie Makalintal Agra, ARNP
• Bhupendra Haridas Agravat, PHARMACIST
• Gia P Agresta, M.D.
• Samuel Agresta, MD
• Thomas Agrusti
• Ags Healthcare Specialists Inc

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.