MEDICARE: MIRTA AGUILAR-RAGBIR ARNP

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	363LF0000X	Family Nurse Practitioner	ARNP9243663	FL

General Provider Information

NPI Number	:	1285170829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRTA AGUILAR-RAGBIR ARNP

Provider Business Mailing Address
First Line	:	190 JOHN F KENNEDY DR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1186
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

Provider Business Practice Location Address
First Line	:	5017 PRAIRIE DUNES VILLAGE CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8215
Country	:	US
Telephone Number	:	305-322-1595
Fax Number	:

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

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	03/23/2026

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