Individual provider · Type 1 NPI

Diego Cardoso Fragoso

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1093645806 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-6000 Map

Mailing address

20 Chapel St Apt A410
Brookline, MA 02446-7405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093645806

Diego Cardoso Fragoso's National Provider Identifier is 1093645806, issued on May 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 22, 2026.