Individual provider · NPI-1

Mario Alfonso Agrait, M.D.

General Practice · Bayamon, PR

NPI number1124165279
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1124165279
Entity type
Individual (NPI-1)
Name
Mario Alfonso Agrait
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 30, 2007
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice10333PRYes

Practice location

L17 Ave Magnolia
Magnolia Gardens
Bayamon, PR 00956-2606

Phone 787-635-0889 · Fax 787-720-6680

Mailing address

Po Box 360414
San Juan, PR 00936-0414

Phone 787-635-0889 · Fax 787-720-6680

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