Provider Demographics
NPI:1225075948
Name:AGUILAR, CARLOS ERNESTO (MD,)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ERNESTO
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 W FLAGLER ST
Mailing Address - Street 2:SUITE # 2A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2100
Mailing Address - Country:US
Mailing Address - Phone:305-631-1259
Mailing Address - Fax:305-631-1169
Practice Address - Street 1:8080 W FLAGLER ST
Practice Address - Street 2:SUITE # 2A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:305-631-1259
Practice Address - Fax:305-631-1169
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 65110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25068Medicare ID - Type UnspecifiedINDIVIDUAL