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NPI Code Detail

MEDICARE: DR. JUAN A AGUILERA M.D.

MEDICARE: DR. JUAN A AGUILERA 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
1208000000XPediatrics PhysicianE2966TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427053099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN A AGUILERA M.D.
Provider Business Mailing Address
First Line : 807 N CAGE BLVD
Second Line :
City : PHARR
State : TX
Zip : 78577-3117
Country : US
Telephone Number : 956-283-1889
Fax Number : 956-283-7014
Provider Business Practice Location Address
First Line : 807 N CAGE BLVD
Second Line :
City : PHARR
State : TX
Zip : 78577-3117
Country : US
Telephone Number : 956-283-1889
Fax Number : 956-283-7014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/10/2019

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Directions to “ DR. JUAN A AGUILERA M.D.” Practice Location

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