Provider Demographics
NPI:1053825877
Name:AGUILAR CARDIOLOGY LLC
Entity Type:Organization
Organization Name:AGUILAR CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:E
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-746-6900
Mailing Address - Street 1:6574 N STATE ROAD 7 STE 423
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3625
Mailing Address - Country:US
Mailing Address - Phone:954-746-6900
Mailing Address - Fax:954-746-8710
Practice Address - Street 1:5951 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5661
Practice Address - Country:US
Practice Address - Phone:954-746-6900
Practice Address - Fax:954-746-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95556207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty