Provider Demographics
NPI:1720016520
Name:AGUIRRE HERNANDEZ, MARIA DELROSARIO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DELROSARIO
Last Name:AGUIRRE HERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 CASTROVILLE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-3359
Mailing Address - Country:US
Mailing Address - Phone:210-433-0366
Mailing Address - Fax:210-433-2622
Practice Address - Street 1:2515 CASTROVILLE RD
Practice Address - Street 2:STE 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-3359
Practice Address - Country:US
Practice Address - Phone:210-433-0366
Practice Address - Fax:210-433-2622
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092658603Medicaid
TX00GU32OtherBCBS
TX00GU32OtherBCBS