Active NPIIndividual providerSole proprietor

Dr. Samuel Negron Agosto, MD

General Practice in Fajardo, Puerto Rico

NPI Number1164525465
Practice location
Calle Cipres #706 Local #2, Fajardo Gardens, Fajardo, PR 00738
Fax
787-801-4698
Last updated
August 19, 2016

Samuel Negron Agosto is a General Practice based in Fajardo, PR. Samuel Negron Agosto practices in Fajardo, PR and has the professional credentials of MD. The NPI Number for Samuel Negron Agosto is 1164525465 and holds a License No. 11991 (PR). The current practice location address for Samuel Negron Agosto is Calle Cipres #706 Local #2, Fajardo Gardens, Fajardo, PR 00738 and can be reached out via phone at 787-801-4698 and via fax at 787-801-4698.

Provider Profile Details

NPI Number
1164525465
Provider Name
Samuel Negron Agosto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Calle Cipres #706 Local #2, Fajardo Gardens, Fajardo, PR 00738
Phone Number
787-801-4698
Fax Number
787-801-4698
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2006
Last Update Date
August 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Cipres #706 Local #2
Fajardo Gardens
Fajardo, PR 00738
Zip
00738
Phone Number
787-801-4698
Fax Number
787-801-4698
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Po Box 1666
Fajardo, PR 00738-1666
City
Fajardo
State
PR
Zip
00738-1666
Phone Number
787-801-4698
Fax Number
787-801-4698

License Information

License Number
11991
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samuel Negron Agosto, MD?

The NPI number of Dr. Samuel Negron Agosto, MD is 1164525465. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel Negron Agosto, MD?

Dr. Samuel Negron Agosto, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 11991.

Where does Dr. Samuel Negron Agosto, MD practice?

The practice location is Calle Cipres #706 Local #2, Fajardo Gardens, Fajardo, PR 00738. The office can be reached at 787-801-4698 (phone) or 787-801-4698 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164525465 directly on the NPPES registry website.

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