Individual provider Active NPI

Anardi Augusto Agosto Mujica, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cayey, PR
National Provider Identifier
1487053385
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21192 Issued in PR
Practice address
109 Ave Jose de Diego E
Cayey, PR 00736-3822
Phone
(787) 366-0634
NPI assigned
Aug 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21192 PR Primary

Addresses

Primary practice location

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

Mailing address

Bo Monacillo Centro Medico
San Juan, PR 00935-0001
Phone (787) 777-3535

Other names 1

  • Dr. Anardi Augusto Agosto Mujica Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190829001231 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 7012245004 Reassigns benefits to 2 organizations
Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Plaza Rial Calle
1 Multimedics a 5
Canovanas, PR 00729
Phone (939) 239-9519

Plaza Rial Canovanas
Plaza Rial Canovanas Local A5
Canovanas, PR 00729
Phone (939) 239-9519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21192PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agosto Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2021 Accepting new patients
Agosto Diabetes-Thyroid and Endocrinology CSP Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2020 Accepting new patients
Agosto Allergy and Immunology CSP Past Accepting new patients

Locations

109 Ave Jose de Diego E
Cayey, PR 00736
Phone (787) 366-0634

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1487053385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO MONACILLO CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 AVE JOSE DE DIEGO E",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363822",
            "telephone_number": "787-366-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO MUJICA",
        "first_name": "ANARDI",
        "middle_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANARDI",
            "last_name": "AGOSTO MUJICA",
            "middle_name": "AUGUSTO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.