MEDICARE: MR. GERARDO M AGUIRRE 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	207R00000X	Internal Medicine Physician	ME44609	FL

General Provider Information

NPI Number	:	1346231727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERARDO M AGUIRRE MD

Provider Business Mailing Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-588-4844
Fax Number	:	561-588-3655

Provider Business Practice Location Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-588-4844
Fax Number	:	561-588-3655

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/08/2007

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