MEDICARE: RAFAELA MARIA AGUIAR MD

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	207Q00000X	Family Medicine Physician	9601144	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080122380	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CB8658	OTHER		RR GROUP
4	1212660012	OTHER	NC	DME

General Provider Information

NPI Number	:	1679599096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAELA MARIA AGUIAR MD

Provider Business Mailing Address
First Line	:	5826 SAMET DR STE 101
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3661
Country	:	US
Telephone Number	:	336-878-6540
Fax Number	:	336-878-6541

Provider Business Practice Location Address
First Line	:	4901 NC HIGHWAY 150 E
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9719
Country	:	US
Telephone Number	:	336-656-9905
Fax Number	:	336-295-3537

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	11/06/2024

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Directions to “ RAFAELA MARIA AGUIAR MD” Practice Location

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