Provider Demographics
NPI:1356684781
Name:AQUINO, FELINO VIRATA (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:FELINO
Middle Name:VIRATA
Last Name:AQUINO
Suffix:
Gender:M
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-6208
Mailing Address - Country:US
Mailing Address - Phone:619-434-9675
Mailing Address - Fax:619-434-9853
Practice Address - Street 1:2101 GRANGER AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-6208
Practice Address - Country:US
Practice Address - Phone:619-434-9675
Practice Address - Fax:619-434-9853
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily