Abelardo Joseph Agustines, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0074814 Issued in FL

Practice address

Bay Pines VA Medical Center
10000 Bay Pines Blvd.
Bay Pines, FL 33744

Phone

(727) 398-6661

Fax

(727) 319-1271

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508962952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 11TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337011822",
            "telephone_number": "727-821-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VA MEDICAL CENTER",
            "address_2": "10000 BAY PINES BLVD.",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-319-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTINES",
        "first_name": "ABELARDO",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Ernst Abrahamsen, M.D.
• Gilbert Acevedo, LCSW
• Laura Christine Ackerman, R.N.
• Sondra Marie Adkinson, PHARM.D.,CGP.FAAPM.
• Jessica Agalliu, PHARMD
• Olabisi Ajani, APRN
• Catherine Ann Alexander-Ponder, MSW
• Marie Dominique Alexis, M.D.
• Dana Sharp Alkire, PHARMD
• Lisa Marie Almond, AU.D.

• Internal Medicine Physician in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.