Provider Demographics
NPI:1467439265
Name:AGUILAR, RICARDO COSME JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:COSME
Last Name:AGUILAR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2515 CASTROVILLE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-3361
Mailing Address - Country:US
Mailing Address - Phone:210-290-8350
Mailing Address - Fax:210-290-8325
Practice Address - Street 1:2515 CASTROVILLE RD STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-3361
Practice Address - Country:US
Practice Address - Phone:210-290-8350
Practice Address - Fax:210-290-8325
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK8603207Q00000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8C0065OtherMEDICARE PTNA
8C0065OtherMEDICARE PTNA