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NPI Code Detail

MEDICARE: DR. JOSE ANTONIO AGUIRRE D.M.D.

MEDICARE: DR. JOSE ANTONIO AGUIRRE D.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
11223G0001XGeneral Practice Dentistry0982PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140919OTHERPRTRIPLE-S
2PREFERED CHOICEOTHERPRPREFERED CHOICE
30982OTHERPRSTATE DENTAL LICENSE
4008809OTHERPRPROFESIONAL REGISTER
5040476OTHERPRCRUZ AZUL
62061013OTHERPRPREFERED HEALTH
7HUMANAOTHERPRHUMANA

General Provider Information

NPI Number : 1437174976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ANTONIO AGUIRRE D.M.D.
Provider Business Mailing Address
First Line : K5 CALLE 1
Second Line : VALPARAISO
City : TOA BAJA
State : PR
Zip : 00949-4004
Country : US
Telephone Number : 787-261-0708
Fax Number : 787-870-1508
Provider Business Practice Location Address
First Line : 16 CALLE BARCELO
Second Line :
City : TOA ALTA
State : PR
Zip : 00953-2444
Country : US
Telephone Number : 787-870-1529
Fax Number : 787-870-1508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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