Provider Demographics
NPI:1043347628
Name:ROSALINA S. AGUILAR
Entity Type:Organization
Organization Name:ROSALINA S. AGUILAR
Other - Org Name:THE DOCTOR'S BUILDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-738-2146
Mailing Address - Street 1:309 PRAIRIE ST N
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-1418
Mailing Address - Country:US
Mailing Address - Phone:334-738-2146
Mailing Address - Fax:
Practice Address - Street 1:309 PRAIRIE ST N
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1418
Practice Address - Country:US
Practice Address - Phone:334-738-2146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00004481261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC71919Medicare UPIN