Individual
MARIELY AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HE10 AVENUE AMALIA PAOLI, TOA BAJA, PR 00949
(787) 261-3465
(787) 261-3415
Mailing address
HM23 CALLE RAMON MORLA, TOA BAJA, PR 00949-3747
(787) 261-3465
(787) 261-3415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12203
PR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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