Provider Demographics
NPI:1073684528
Name:AGUILA, ORLANDO J (DC)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:J
Last Name:AGUILA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5616
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-1616
Mailing Address - Country:US
Mailing Address - Phone:786-309-2225
Mailing Address - Fax:954-417-8053
Practice Address - Street 1:16213 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4572
Practice Address - Country:US
Practice Address - Phone:954-367-9124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76948OtherBCBS NUMBER
FL76948ZMedicare ID - Type Unspecified
FL76948OtherBCBS NUMBER