Individual
MARIO ALFONSO AGRAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
L17 AVE MAGNOLIA, MAGNOLIA GARDENS, BAYAMON, PR 00956-2606
(787) 635-0889
(787) 720-6680
Mailing address
PO BOX 360414, SAN JUAN, PR 00936-0414
(787) 635-0889
(787) 720-6680
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10333
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10333
STATE LICENCE
PR
Enumeration date
01/30/2007
Last updated
03/07/2023
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