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NPI Code Detail

MEDICARE: LUZ MARIA AGUILAR M.D.

MEDICARE: LUZ MARIA AGUILAR M.D.
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
1208D00000XGeneral Practice PhysicianME 0065553FL

General Provider Information

NPI Number : 1285674093
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ MARIA AGUILAR M.D.
Provider Business Mailing Address
First Line : 973 NW 106TH AVENUE CIR
Second Line :
City : MIAMI
State : FL
Zip : 33172-3122
Country : US
Telephone Number : 305-226-1480
Fax Number : 305-226-1480
Provider Business Practice Location Address
First Line : 16555 NW 25TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33054-6583
Country : US
Telephone Number : 786-466-1707
Fax Number : 305-624-5296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/08/2007

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