MEDICARE: DR. ANDRE UTULO AGUILLON 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
1	207R00000X	Internal Medicine Physician	35.096801	OH
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	35.096801	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1760647507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRE UTULO AGUILLON M.D.

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2598
Country	:	US
Telephone Number	:	419-383-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 W CENTRAL AVE STE 200
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3817
Country	:	US
Telephone Number	:	567-420-1600
Fax Number	:	567-420-1630

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

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	02/05/2026

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Directions to “ DR. ANDRE UTULO AGUILLON M.D.” Practice Location

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