Active NPIIndividual provider

Michael C Agustin, MD

Internal Medicine, Pulmonary Disease in Dededo, Guam

NPI Number1215248356
Practice location
133 Route 3, Dededo, GU 96929-6911
Fax
671-969-4894
Last updated
May 23, 2019

Michael Calica Agustin is an Internal Medicine, Pulmonary Disease based in Dededo, GU. Michael Calica Agustin practices in Dededo, GU and has the professional credentials of MD. The NPI Number for Michael Calica Agustin is 1215248356 and holds a License No. 250235 (MA). The current practice location address for Michael Calica Agustin is 133 Route 3, Dededo, GU 96929-6911 and can be reached out via phone at 671-645-5500 and via fax at 671-969-4894.

Provider Profile Details

NPI Number
1215248356
Provider Name
Michael Calica Agustin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
133 Route 3, Dededo, GU 96929-6911
Phone Number
671-645-5500
Fax Number
671-969-4894
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2010
Last Update Date
May 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Route 3
Dededo, GU 96929-6911
City
Dededo
State
Guam
Zip
96929-6911
Phone Number
671-645-5500
Fax Number
671-969-4894
Dededo, GU 96929Get directions →

Provider Business Mailing Address Details

Address
133 Route 3
Dededo, GU 96929-6911
City
Dededo
State
GU
Zip
96929-6911
Phone Number
671-645-5500
Fax Number
671-969-4894

License Information

License Number (1)
250235
License State (1)
MA
License Number (2)
LP02041
License State (2)
RI
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
M1976
License State (3)
GU
License Number (4)
250235
License State (4)
MA
Taxonomy (4)
Internal Medicine, Pulmonary Disease · 207RP1001X
License Number (5)
M1976
License State (5)
GU
Taxonomy (5)
Internal Medicine, Pulmonary Disease · 207RP1001X · 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 Michael C Agustin, MD?

The NPI number of Michael C Agustin, MD is 1215248356. It was assigned on June 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Michael C Agustin, MD?

Michael C Agustin, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in MA under license number 250235.

Where does Michael C Agustin, MD practice?

The practice location is 133 Route 3, Dededo, GU 96929-6911. The office can be reached at 671-645-5500 (phone) or 671-969-4894 (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 1215248356 directly on the NPPES registry website.

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