Provider Demographics
NPI:1528034360
Name:AGUILAR, JESUS J (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:J
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:1910 S NEW BRAUNFELS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-5220
Practice Address - Country:US
Practice Address - Phone:210-532-0891
Practice Address - Fax:210-532-0717
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1450207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G99693Medicare UPIN