Provider Demographics
NPI:1023029436
Name:AGRONT, HARRY N
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:N
Last Name:AGRONT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1173
Mailing Address - Street 2:
Mailing Address - City:SAINT JUST
Mailing Address - State:PR
Mailing Address - Zip Code:00978-1173
Mailing Address - Country:US
Mailing Address - Phone:787-760-7650
Mailing Address - Fax:787-283-6131
Practice Address - Street 1:CARR 848 KM. 0 H. 2
Practice Address - Street 2:SAINT JUST
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-760-7650
Practice Address - Fax:787-283-6131
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR61821CLOtherTRIPLE S
PR051955OtherLA CRUZ AZUL PUERTO RICO
PR101096OtherI VISION
PR115694OtherEYE MED
PR9780002OtherHUMANA
PRES00289OtherUIA
PR215069OtherPREFERRED HEALTH