Individual provider Active NPI

Zulma Iris Jurado-Agosto, M.D.

  • Obstetrics & Gynecology Physician
  • Canovanas, PR
National Provider Identifier
1801863063
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11620 Issued in PR
Practice address
Calle Palmer, Esq. Blanco Sosa #18
Canovanas, PR 00729
Phone
(787) 856-0132
Fax
(787) 256-0132
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11620 PR Primary

Addresses

Primary practice location

Calle Palmer, Esq. Blanco Sosa #18
Canovanas, PR 00729

Mailing address

P.O. Box 10,000 PMB 445
Canovanas, PR 00729-0011
Phone (787) 256-0132

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
I20080903000399 PR Practitioner - Obstetrics/Gynecology 2365518040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Calle Palmer
Esq Blanco Sosa
Canovanas, PR 00729

Calle Blanco Esq Sosa
Suite 18
Canovanas, PR 00729
Phone (787) 256-0132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cons Medico Ginecologia Y Obstetricia CurrentSince Aug 20, 2008 Accepting new patients
Metro Santurce, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1801863063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10,000 PMB 445",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290011",
            "telephone_number": "787-256-0132",
            "fax_number": "787-256-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER, ESQ. BLANCO SOSA #18",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-856-0132",
            "fax_number": "787-256-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO-AGOSTO",
        "first_name": "ZULMA",
        "middle_name": "IRIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "11620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.