Provider Demographics
NPI:1730075433
Name:AGUILAR TORRES, GONZALO (CMI-SPANISH)
Entity type:Individual
Prefix:
First Name:GONZALO
Middle Name:
Last Name:AGUILAR TORRES
Suffix:
Gender:M
Credentials:CMI-SPANISH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 S TEILMAN CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-2847
Mailing Address - Country:US
Mailing Address - Phone:559-718-3840
Mailing Address - Fax:
Practice Address - Street 1:1667 S TEILMAN CIR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-2847
Practice Address - Country:US
Practice Address - Phone:559-718-3840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102523171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter