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NPI Code Detail

MEDICARE: RUBEN I AGUILAR PROFESSIONAL CONSULTING SERVICES INC

MEDICARE: RUBEN I AGUILAR PROFESSIONAL CONSULTING SERVICES INC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386960169
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUBEN I AGUILAR PROFESSIONAL CONSULTING SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 371113
Second Line :
City : EL PASO
State : TX
Zip : 79937-1113
Country : US
Telephone Number : 575-680-0035
Fax Number : 866-596-6125
Provider Business Practice Location Address
First Line : 10761 PEBBLE HILLS BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79935-2037
Country : US
Telephone Number : 575-680-0035
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. RUBEN ISRAEL AGUILAR
Credential :
Telephone Number : 575-680-0035
Provider Enumeration Date : 04/19/2010
Last Update Date : 04/19/2010

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