Healthcare Provider Details

I. General information

NPI: 1205631082
Provider Name (Legal Business Name): AGUILAR WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 CASTROVILLE RD STE 1
SAN ANTONIO TX
78237-3361
US

IV. Provider business mailing address

8534 VILLAGE DR STE F
SAN ANTONIO TX
78217-5501
US

V. Phone/Fax

Practice location:
  • Phone: 210-290-8350
  • Fax: 210-290-8325
Mailing address:
  • Phone: 210-290-8350
  • Fax: 210-290-8325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RICARDO AGUILAR
Title or Position: OWNER
Credential: MD
Phone: 210-275-1559