Individual provider · NPI-1

Jorge A Aguilar, MD

Internal Medicine · Espanola, NM

NPI number1710015433
StatusActive
Last updated in NPPESJul 16, 2008

Details

NPI
1710015433
Entity type
Individual (NPI-1)
Name
Jorge A Aguilar
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 2, 2007
Last updated
Jul 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2000133NMYes

Practice location

1010 Spruce St
Espanola Hospital
Espanola, NM 87532-2724

Phone 505-753-7111 · Fax 505-753-4438

Mailing address

Po Box 26666
Phs Provider Enrollment
Albuquerque, NM 87125-6666

Phone 505-923-5356 · Fax 505-923-5354

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