Maria Jose Agudo, MD – Pediatrics Physician

Key facts

NPI: 1699799767
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 13387 (PR)
Practice address: 436 Via Campina
Hacienda San Jose
Caguas, PR 00727-3098
Phone: (787) 313-6831
Fax: (787) 653-2362
NPI assigned: Jul 26, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Bayamon Medical Center Corp General Acute Care Hospital · Bayamon, PR · NPI 1912930488

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
13387	PR	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Bayamon Medical Center Corp		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	13387	PR	Yes

Addresses

Primary practice location

436 Via Campina
Hacienda San Jose
Caguas, PR 00727-3098

Mailing address

436 Via Campina
Hacienda San Jose
Caguas, PR 00727-3098
Phone (787) 469-7997

Other providers in Caguas, PR

All providers in Caguas, PR · Pediatrics Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2014. 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.

Verify at the official NPI Registry.