Healthcare Provider Details

I. General information

NPI: 1609048909
Provider Name (Legal Business Name): HECTOR TAMEZ AGUILAR M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 PILGRIM RD # BAKER4
BOSTON MA
02215-5324
US

IV. Provider business mailing address

185 PILGRIM RD # BAKER4
BOSTON MA
02215-5324
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-8800
  • Fax:
Mailing address:
  • Phone: 617-667-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number246150
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number246150
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: