JOSELYN AGOSTO-BETANCOURT (NPI# 1740519073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740519073 |
| Entity Type | Individual |
| Full Name | JOSELYN AGOSTO-BETANCOURT |
| Credential | MD |
| Practice Address |
East Highway 18 Ihs Compound Pine Ridge SD 57770-1201 |
| Mailing Address |
912 Crimson Ct Rapid City SD 57701-1778 |
| Practice Telephone | 7873402029 |
| Mailing Telephone | 7873402029 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 17757 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICAL LICENSE | 17787 | 01 |
| Street Address |
EAST HIGHWAY 18 IHS COMPOUND |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383329 | Lmmc Sioux Falls, LLC | General Practice | 5919 S Remington Pl, Sioux Falls, SD 57108-5143 | 2019-12-20 |
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1679756399 | Johanna Militza Camacho | General Practice | 24276 166 Th St Airport Road, Eagle Butte, SD 57625 | 2007-12-17 |
| 1912187865 | Steven Michael Burtz | General Practice | 1702 Main St, Tyndall, SD 57066 | 2007-11-08 |
| 1366647893 | Julio Enrique Almeyda | General Practice | 24276 166 St Airport Road, Eagle Butte, SD 57625-1155 | 2007-06-15 |
| 1548477565 | Arlene Flores | General Practice | Camino Aviles Res Carr 830, Km5.2 Cerro Gordo, Bayamon, SD 00956-9606 | 2007-05-17 |
| 1063630150 | Elizabeth Anne Pearl | General Practice | 7037 Freedom Ct, Apt B, Summerset, SD 57718-8712 | 2007-04-23 |
| 1942382585 | Robert C. Preston | General Practice | 408 Knollwood Dr, Rapid City, SD 57701-0600 | 2006-10-20 |
| 1083624241 | Antonio Mora Alandy | General Practice | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2006-08-09 |
| 1710961081 | Pedro H Ibarra-perocier | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on JOSELYN AGOSTO-BETANCOURT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.