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General NPI Number Information
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NPI Number | 1033760681
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Entity Type | Individual
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Provider Name | MOISES CINTRON II AGOSTO MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 4308 ALTON RD STE 870
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4560
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Country | US
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Telephone | 305-538-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME175320
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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