Mariely Agosto, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12203 Issued in PR

Practice address

He10 Avenue Amalia Paoli
Toa Baja, PR 00949

Phone

(787) 261-3465

Fax

(787) 261-3415

NPI assigned

Aug 30, 2006

Sex

Female

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760592687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HM23 CALLE RAMON MORLA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493747",
            "telephone_number": "787-261-3465",
            "fax_number": "787-261-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HE10 AVENUE AMALIA PAOLI",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-261-3465",
            "fax_number": "787-261-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO",
        "first_name": "MARIELY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda I. Adorno
• Advance Dental JRJ,PSC
• Advance Pro-Health, Corp.
• Advanced Breast Clinics
• Advanced Breast Clinics, PSC
• Airiek Ambulance Best Care.Corp
• Al-Teen,Corp
• Karla M Albaladejo Muniz, LICENSED PSYCHOLOGY
• Abdiel Jose Alicea Negron, STUDENT
• Elizabeth Alicea, MEDICAL TECHNOLOGIST

• Pediatrics Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Pediatrics Physician in Puerto Rico

• 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.