MEDICARE: ANGELICA AGAPITO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD-20854	HI
2	207Q00000X	Family Medicine Physician	MDR-7376	HI

General Provider Information

NPI Number	:	1578084505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA AGAPITO MD

Provider Business Mailing Address
First Line	:	91-6390 KAPOLEI PKWY
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6380
Country	:	US
Telephone Number	:	808-691-8200
Fax Number	:	808-691-3955

Provider Business Practice Location Address
First Line	:	91-6390 KAPOLEI PKWY
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6380
Country	:	US
Telephone Number	:	808-691-8200
Fax Number	:	808-691-3955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	05/14/2026

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