Active NPIIndividual providerSole proprietor

Lysbeth R Davila Agosto, DPM

Podiatrist in San Juan, Puerto Rico

NPI Number1891764122
Practice location
400 Ave Domenech, Ste 508, San Juan, PR 00918-3705
Fax
787-274-1843
Last updated
May 28, 2016

Lysbeth R Davila Agosto is a Podiatrist based in San Juan, PR. Lysbeth R Davila Agosto practices in San Juan, PR and has the professional credentials of DPM. The NPI Number for Lysbeth R Davila Agosto is 1891764122 and holds a License No. 80 (PR). The current practice location address for Lysbeth R Davila Agosto is 400 Ave Domenech, Ste 508, San Juan, PR 00918-3705 and can be reached out via phone at 787-274-1843 and via fax at 787-274-1843.

Provider Profile Details

NPI Number
1891764122
Provider Name
Lysbeth R Davila Agosto
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
400 Ave Domenech, Ste 508, San Juan, PR 00918-3705
Phone Number
787-274-1843
Fax Number
787-274-1843
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2006
Last Update Date
May 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Ave Domenech
Ste 508
San Juan, PR 00918-3705
Zip
00918-3705
Phone Number
787-274-1843
Fax Number
787-274-1843
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
400 Ave Domenech
Ste 508
San Juan, PR 00918-3705
City
San Juan
State
PR
Zip
00918-3705
Phone Number
787-274-1843
Fax Number
787-274-1843

License Information

License Number
80
License State
PR
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

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

Other Podiatrists near San Juan, PR

View all Podiatrists in San Juan →

Frequently Asked Questions

What is the NPI number of Lysbeth R Davila Agosto, DPM?

The NPI number of Lysbeth R Davila Agosto, DPM is 1891764122. It was assigned on March 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Lysbeth R Davila Agosto, DPM?

Lysbeth R Davila Agosto, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in PR under license number 80.

Where does Lysbeth R Davila Agosto, DPM practice?

The practice location is 400 Ave Domenech, Ste 508, San Juan, PR 00918-3705. The office can be reached at 787-274-1843 (phone) or 787-274-1843 (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 1891764122 directly on the NPPES registry website.

Browse related providers