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NPI Code Detail

MEDICARE: DR. RICHARD BURT AGUILAR M.D.

MEDICARE: DR. RICHARD BURT AGUILAR M.D.
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
1207R00000XInternal Medicine PhysicianG62147CA
2207R00000XInternal Medicine PhysicianMD26851OR
3207R00000XInternal Medicine PhysicianME128129FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528024056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BURT AGUILAR M.D.
Provider Business Mailing Address
First Line : 7705 SEVILLE AVE
Second Line : SUITE B
City : HUNTINGTON
State : CA
Zip : 90255-6315
Country : US
Telephone Number : 323-582-7406
Fax Number : 323-582-1862
Provider Business Practice Location Address
First Line : 13768 SW 8TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33184-3030
Country : US
Telephone Number : 855-226-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 03/10/2022

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