Provider Demographics
NPI:1750168423
Name:AGOSTO, KRYSTAL MARY (CRNA)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:MARY
Last Name:AGOSTO
Suffix:
Gender:F
Credentials:CRNA
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Other - Credentials:
Mailing Address - Street 1:CARRETERA #2, KM. 80.4 BARRIO SAN DANIEL
Mailing Address - Street 2:SECTOR LAS CANELAS
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-4050
Mailing Address - Country:US
Mailing Address - Phone:787-878-5475
Mailing Address - Fax:787-880-1624
Practice Address - Street 1:CARRETERA #2, KM. 80.4 BARRIO SAN DANIEL
Practice Address - Street 2:SECTOR LAS CANELAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614-4050
Practice Address - Country:US
Practice Address - Phone:787-878-5475
Practice Address - Fax:787-880-1624
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2025-02-07
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11037014367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered