Individual provider · Type 1 NPI
Samuel Negron Agosto, MD
General Practice Physician · Fajardo, PR
NPI number
1164525465
Active
Practice location
Calle Cipres #706 Local #2, Fajardo Gardens
Fajardo, PR 00738
Fax (787) 801-4698
Mailing address
PO Box 1666
Fajardo, PR 00738-1666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 11991 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1164525465
Samuel Negron Agosto, MD's National Provider Identifier is 1164525465, issued on Sep 6, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fajardo, PR. The record was last updated on Aug 19, 2016.