IndividualActive
Lysbeth Davila Agosto, DPM
NPI 1891764122 · Podiatrist · San Juan, PR
Provider details
- NPI number
- 1891764122
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 80 (PR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
400 Ave Domenech
Ste 508
San Juan, PR 00918-3705
Phone: (787) 274-1843
Fax: (787) 274-1843
Mailing address
400 Ave Domenech
San Juan, PR 00918-3705
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2016-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.