Provider Demographics
NPI:1083768808
Name:AQUINO, EDUARDO LM (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:LM
Last Name:AQUINO
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21 INWOOD HEIGHTS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2314
Mailing Address - Country:US
Mailing Address - Phone:210-614-4742
Mailing Address - Fax:210-614-2633
Practice Address - Street 1:8600 WURZBACH RD STE 900E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4333
Practice Address - Country:US
Practice Address - Phone:210-614-4742
Practice Address - Fax:210-614-2633
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9513174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist