Mr Rudolfo Santos Agustin Jr, FNP-BC - Nurse Practitioner in Suffolk, VA

Mr Rudolfo Santos Agustin Jr, FNP-BC is a Nurse Practitioner - Family based in Suffolk, Virginia. Mr Rudolfo Santos Agustin Jr is licensed to practice in Virginia (license number 0024188387) and his current practice location is 2800 Godwin Blvd, Suffolk, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 934-4815.

NPI number for Mr Rudolfo Santos Agustin Jr is 1114708138 and his current mailing address is 4820 Templar Dr, Portsmouth, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114708138.

Contact Information

Mr Rudolfo Santos Agustin Jr, FNP-BC
2800 Godwin Blvd,
Suffolk, VA 23434-8038
(757) 934-4815
Not Available

Map and Direction




Provider's Profile

Full NameMr Rudolfo Santos Agustin Jr
GenderMale
SpecialityNurse Practitioner - Family
Location2800 Godwin Blvd, Suffolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114708138
  • Provider Enumeration Date: 10/06/2023
  • Last Update Date: 10/06/2023

Medical Identifiers

Medical identifiers for Mr Rudolfo Santos Agustin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114708138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 0001279793 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024188387 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Rudolfo Santos Agustin Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Rudolfo Santos Agustin Jr, FNP-BC
4820 Templar Dr,
Portsmouth, VA 23703-3934

Ph: () -
Mr Rudolfo Santos Agustin Jr, FNP-BC
2800 Godwin Blvd,
Suffolk, VA 23434-8038

Ph: (757) 934-4815

Reviews and Comments


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