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NPI Code Detail

MEDICARE: DR. RICARDO COSME AGUILAR JR. M.D.

MEDICARE:  DR. RICARDO COSME AGUILAR JR. 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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) PhysicianK8603TX
2207Q00000XFamily Medicine PhysicianK8603TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18C0065OTHERMEDICARE PTNA

General Provider Information

NPI Number : 1467439265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO COSME AGUILAR JR. M.D.
Provider Business Mailing Address
First Line : 2515 CASTROVILLE RD STE 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3361
Country : US
Telephone Number : 210-290-8350
Fax Number : 210-290-8325
Provider Business Practice Location Address
First Line : 2515 CASTROVILLE RD STE 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3361
Country : US
Telephone Number : 210-290-8350
Fax Number : 210-290-8325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 05/08/2024

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