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Individual

DR. NORMA E AGOSTO-MAURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
A2 CALLE LODI, URB VILLA LUARCA, SAN JUAN, PR 00924
(787) 751-5955
(787) 767-0516
Mailing address
A2 CALLE LODI, URB VILLA LUARCA, SAN JUAN, PR 00924
(787) 751-5955
(787) 767-0516

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
4731
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068347
BLUE CROSS
01
601532
MMM CIGNA CANADA LIFE TRI
01
A174
IMC CIGNA CANADA LIFE TRI
Enumeration date
05/03/2006
Last updated
04/17/2020
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