Healthcare Provider Details

I. General information

NPI: 1316863343
Provider Name (Legal Business Name): RINA AGUILERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 HAMILTON ST
HYATTSVILLE MD
20781-1937
US

IV. Provider business mailing address

4309 HAMILTON ST
HYATTSVILLE MD
20781-1937
US

V. Phone/Fax

Practice location:
  • Phone: 240-602-0573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: