Individual provider · NPI-1
Luis Pedro Gil Agostinho
Non-emergency Medical Transport (VAN) · Fargo, ND
NPI number1912353343
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1912353343
- Entity type
- Individual (NPI-1)
- Name
- Luis Pedro Gil Agostinho
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2016
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 172A00000X | Driver | GIL-70-9863 | ND |
Practice location
2108 University Dr S Ste 108aFargo, ND 58103-5348
Phone 701-936-0577
Mailing address
2108 University Dr S Ste 108aFargo, ND 58103-5348
Phone 701-936-0577
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