Individual provider Active NPI

Marielba Agosto, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cayey, PR
National Provider Identifier
1902078157
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
15558 Issued in PR
Practice address
109 Ave Jose de Diego E
Cayey, PR 00736-3822
Phone
(787) 635-4374
NPI assigned
Mar 27, 2008
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15558 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 15558 PR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 6400
PMB 2519
Cayey, PR 00737-6400
Phone (787) 602-3947

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
I20090113000399 PR Practitioner - EndocrinologyPractitioner - General PracticePractitioner - Internal Medicine 7618030990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Ave Jose de Diego E
Cayey, PR 00736-3822
Phone (787) 738-4448

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Endocrinology, Diabetes & Metabolism CurrentSince Sep 22, 2010 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 22, 2010 Accepting new patients
Agosto Diabetes-Thyroid and Endocrinology CSP Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2012 Accepting new patients

Locations

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

Hos Universitario De Adult
San Juan, PR 00935

Interoperability endpoints

  • Direct secure messaging: marielba.agosto.p1@direct.vitacare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1902078157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "address_2": "PMB 2519",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007376400",
            "telephone_number": "787-602-3947"
        },
        {
            "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": "787-635-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO",
        "first_name": "MARIELBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15558",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "15558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.