MEDICARE: MARTIN AGUERO, MD PLLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1225641749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN AGUERO, MD PLLC

Provider Business Mailing Address
First Line	:	25193 ROSAMOND CT
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33983-5934
Country	:	US
Telephone Number	:	939-242-5987
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 CARING WAY STE 3
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-5304
Country	:	US
Telephone Number	:	863-417-7117
Fax Number	:	863-884-1247

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MARTIN FRANCISCO AGUERO
Credential	:	MD
Telephone Number	:	863-417-7117

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	01/07/2023

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