Provider Demographics
NPI:1881653160
Name:CAYERE-MORALES, AGUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AGUSTIN
Middle Name:
Last Name:CAYERE-MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 36 BOX 13
Mailing Address - Street 2:MONTE ATENAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9805
Mailing Address - Country:US
Mailing Address - Phone:939-645-5673
Mailing Address - Fax:787-845-8014
Practice Address - Street 1:14 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-2632
Practice Address - Country:US
Practice Address - Phone:787-845-6455
Practice Address - Fax:787-845-8014
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12633208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0090083Medicare ID - Type Unspecified
PRG95010Medicare UPIN