Provider Demographics
NPI:1407998677
Name:AGUIAR, MERCEDES (MD)
Entity Type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:
Last Name:AGUIAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MERCEDES
Other - Middle Name:E
Other - Last Name:ASSEMD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 451338
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33245-1338
Mailing Address - Country:US
Mailing Address - Phone:305-642-3882
Mailing Address - Fax:305-642-3892
Practice Address - Street 1:330 SW 27TH AVE SUITE #309
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2967
Practice Address - Country:US
Practice Address - Phone:305-642-3882
Practice Address - Fax:305-642-3892
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0019946207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL71038Medicare ID - Type Unspecified
D57936Medicare UPIN