Carmen Agosto
Individual provider Active NPI Pharmacist · Dorado, PR
NPI 1316218985 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1316218985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3010 (PR)
- Practice address
- Paseo Real Dorado C Esmerla #S8
Dorado, PR 00646 - Phone
- (787) 278-4717
- NPI assigned
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3010 | PR | Yes |
Addresses
Primary practice location
Paseo Real Dorado C Esmerla #S8
Dorado, PR 00646
Mailing address
P.O. Box 52
Bayamon, PR 00960
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.