| Northeastern Endocrinology, Llc | |
|
Cond Carolina Ct Ste 308 Carolina PR 00982-3501 | |
| (787) 635-8047 | |
| Not Available |
| Full Name | Northeastern Endocrinology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Cond Carolina Ct Ste 308, Carolina, Puerto Rico |
| Authorized Official Name and Position | Yanerys Agosto-vargas (MD) |
| Authorized Official Contact | 7876358047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Endocrinology, Llc Las Haciendas 1505 Calle Vereda Verde Canovanas PR 00729 Ph: (787) 635-8047 | Northeastern Endocrinology, Llc Cond Carolina Ct Ste 308 Carolina PR 00982-3501 Ph: (787) 635-8047 |
| NPI Number | 1770344970 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 0345687737 |
|---|---|
| Medicare Enrollment ID | O20240320004048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770344970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Yanerys Agosto-vargas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629417803 PECOS PAC ID: 6204160666 Enrollment ID: I20190619001455 |
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