Provider Demographics
NPI:1033227590
Name:AGUILO-RAMOS, GUILLERMO J (MD)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:J
Last Name:AGUILO-RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MENDEZ VIGO #114E
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-834-4059
Mailing Address - Fax:787-832-2312
Practice Address - Street 1:FRONTERA COLON & SUAREZ RADIOLOGOS
Practice Address - Street 2:DE DIEGO STREET #12
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-4059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR138242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21014Medicare ID - Type Unspecified
88632Medicare UPIN