Individual
MICHAEL CALICA AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 969-4894
Mailing address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 969-4894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02041
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
250235
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M1976
GU
207RP1001X
Pulmonary Disease Physician
250235
MA
207RP1001X
Pulmonary Disease Physician
Primary
M1976
GU
Other
Enumeration date
06/23/2010
Last updated
05/23/2019
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