Edgardo Jose Prieto Agostini, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11166 Issued in PR

Practice address

Avenida Jose Mercodo Esquire Ruiz Belvis
Coquas, PR 00725

Phone

(787) 747-9000

Fax

(747) 745-0225

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

• Oficina Medica Dr. Edgardo Prieto Agostini, CSP

  • Psychiatry Physician
  • Caguas, PR
  • NPI 1790343994
  NPD
• San Juan Capestrano Hospital Inc.

  dba San Juan Capestrano Hospital

  • Psychiatric Hospital
  • Rio Piedras, PR
  • NPI 1144293705
  NPD (past)
• San Juan Capestrano Hospital, Inc.

  dba San Juan Capestrano Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hatillo, PR
  • NPI 1669673885
  NPD (past)
• San Juan Capestrano Hospital, Inc.

  dba San Juan Capestrano Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1821208521
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982765707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "address_2": "SUITE 272",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-637-6529",
            "fax_number": "787-745-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA JOSE MERCODO ESQUIRE RUIZ BELVIS",
            "city": "COQUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-9000",
            "fax_number": "747-745-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO AGOSTINI",
        "first_name": "EDGARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88639",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.