Provider Demographics
NPI:1164590238
Name:AGUINAGA, JORGE A (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:A
Last Name:AGUINAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:471 US HIGHWAY 1
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5661
Mailing Address - Country:US
Mailing Address - Phone:305-923-9030
Mailing Address - Fax:305-745-9875
Practice Address - Street 1:1300 DOUGLAS CIR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4536
Practice Address - Country:US
Practice Address - Phone:786-492-0876
Practice Address - Fax:305-745-9875
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLFL ME770502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271590200Medicaid
FL46332OtherBLUE CROSS BLUE SHIELD
FL46332OtherBLUE CROSS BLUE SHIELD