Anardi Agosto-Mujica, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

15888 Issued in PR

Practice address

109 Jose de Diego
Cayey, PR 00736-9000

Phone

(787) 635-4374

Fax

(787) 905-7908

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine

Education

Ponce School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjcaagosto@yourcarecommunity.org

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.

• Agosto Allergy and Immunology CSP

  • Allergy & Immunology Physician
  • Cayey, PR
  • NPI 1124314760
  Medicare reassignment NPD
• Agosto Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Canovanas, PR
  • NPI 1700468584
  NPD (past)
• Raypar Inc

  • Pediatrics Physician
  • Lakeland, FL
  • NPI 1053728881
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1215901426",
    "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 JOSE DE DIEGO",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369000",
            "telephone_number": "787-635-4374",
            "fax_number": "787-905-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO-MUJICA",
        "first_name": "ANARDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "15888",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15888",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15888",
            "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 OB-GYN PSC
• Advanced Rehab Chiropractic, LLC
• Agosto Allergy and Immunology CSP
• Agosto Diabetes-Thyroid and Endocrinology CSP
• Anardi Augusto Agosto Mujica, M.D.
• Marielba Agosto, M.D.
• Ivelisse Alejandro, OD
• Solymar Alicea Merced, PSY.D.
• Nancy B Alicea, ND
• Alimenta Bienestar, LLC

• 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 Jun 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.