MEDICARE: MRS. ROSARIO AGUIRRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013949106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSARIO AGUIRRE

Provider Business Mailing Address
First Line	:	518 S STANDARD AVE
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2443
Country	:	US
Telephone Number	:	956-624-4814
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 S STANDARD AVE
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2443
Country	:	US
Telephone Number	:	956-624-4814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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