Provider Demographics
NPI:1497384325
Name:AGUIRRE, DAN (RESPIRATORY)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:RESPIRATORY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 CARDINAL BLUFF DR UNIT 204
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8463
Mailing Address - Country:US
Mailing Address - Phone:619-410-9700
Mailing Address - Fax:
Practice Address - Street 1:1613 CARDINAL BLUFF DR UNIT 204
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8463
Practice Address - Country:US
Practice Address - Phone:619-410-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19778227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered