Healthcare Provider Details

I. General information

NPI: 1164431714
Provider Name (Legal Business Name): HORACIO S AURE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 FAWCETT AVE
MCKEESPORT PA
15131-1507
US

IV. Provider business mailing address

21 YOST BLVD FOREST HILLS PLAZA- SUITE 216
PITTSBURGH PA
15221-5283
US

V. Phone/Fax

Practice location:
  • Phone: 412-672-9782
  • Fax: 412-672-3754
Mailing address:
  • Phone: 412-831-3113
  • Fax: 412-823-6361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD037216L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier4084708
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA
# 2
IdentifierDC1768
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRAILROAD MEDICARE
# 3
Identifier64090
Identifier TypeOTHER
Identifier State
Identifier IssuerUNISON-PCP
# 4
Identifier75980
Identifier TypeOTHER
Identifier State
Identifier IssuerUNISON-SPECIALIST
# 5
Identifier1629728
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 6
Identifier100881
Identifier TypeOTHER
Identifier State
Identifier IssuerUPMC
# 7
Identifier0009013010001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: