Healthcare Provider Details

I. General information

NPI: 1659588606
Provider Name (Legal Business Name): DAVID JOEL AGUIRRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 12/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA ALEJANDRINO #108 CAMINO ALEJANDRINO
GUAYNABO PR
00969
US

IV. Provider business mailing address

ST VISTAS DEL MORRO #113 PANAORAMA VILLAGE
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 787-720-7168
  • Fax: 787-993-5701
Mailing address:
  • Phone: 787-730-2735
  • Fax: 787-730-2735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number15767
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: