MEDICARE: DR. MIGUEL ANGEL AGUILERA 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
1	208D00000X	General Practice Physician	025949	LA
2	208VP0000X	Pain Medicine Physician	MD.025949	LA
3	207P00000X	Emergency Medicine Physician	025949	LA

General Provider Information

NPI Number	:	1598735334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL ANGEL AGUILERA JR. M.D.

Provider Business Mailing Address
First Line	:	2700 NAPOLEON AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6914
Country	:	US
Telephone Number	:	504-899-9311
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 VETERANS MEMORIAL BLVD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-5329
Country	:	US
Telephone Number	:	504-754-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/27/2024

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