MEDICARE: DR. GEORGINA AGUIRRE 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	207Q00000X	Family Medicine Physician	9099	PR

General Provider Information

NPI Number	:	1932177367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGINA AGUIRRE M.D.

Provider Business Mailing Address
First Line	:	20 CALLE RUIZ BELVIS
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-2670
Country	:	US
Telephone Number	:	787-825-6377
Fax Number	:	787-848-1306

Provider Business Practice Location Address
First Line	:	396 ZONA IND REPARADA 2
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-2347
Country	:	US
Telephone Number	:	787-840-0052
Fax Number	:	787-848-1306

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/08/2007

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