Provider Demographics
NPI:1376305326
Name:AGUILAR-GONZALEZ, MARIA
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:AGUILAR-GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DE LAL LUZ
Other - Last Name:JACUINDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DE LAL LUZ JACUINDE
Mailing Address - Street 1:62895 HAMBY RD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-9575
Mailing Address - Country:US
Mailing Address - Phone:541-389-1409
Mailing Address - Fax:
Practice Address - Street 1:1600 NE RUMGAY LN
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7287
Practice Address - Country:US
Practice Address - Phone:541-383-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker