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Joselyn Agosto-betancourt, MD
General Practice Physician in Pine Ridge, South Dakota
NPI 1740519073

Joselyn Agosto-betancourt is a General Practice Physician based in Rapid City, SD. Joselyn Agosto-betancourt practices in Pine Ridge, SD and has the professional credentials of MD. The NPI Number for Joselyn Agosto-betancourt is 1740519073 and holds a License No. 17757 (South Dakota).

The current practice location address for Joselyn Agosto-betancourt is East Highway 18 Ihs Compound, Pine Ridge, SD and can be reached out via phone at 787-340-2029.

Location: East Highway 18 Ihs Compound, Pine Ridge, SD, 57701-1778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740519073
Provider Name
Joselyn Agosto-betancourt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
East Highway 18 Ihs Compound, Pine Ridge, SD, 57701-1778
Phone Number
787-340-2029
Fax Number
Provider Enumeration Date
12/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17787 01 PR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
East Highway 18 Ihs Compound
City
Pine Ridge
State
South Dakota
Zip
57770-1201
Phone Number
787-340-2029
Fax Number
person
Provider Business Mailing Address Details
Address
East Highway 18 Ihs Compound
City
Pine Ridge
State
South Dakota
Zip
57770-1201
Phone Number
787-340-2029
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
17757 ()
Definition
Definition to come...
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