Provider Demographics
NPI:1740582162
Name:AGUILAR, CYNTHIA ARCELIA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ARCELIA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-2705
Mailing Address - Country:US
Mailing Address - Phone:702-806-8630
Mailing Address - Fax:
Practice Address - Street 1:709 N 21ST ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2705
Practice Address - Country:US
Practice Address - Phone:702-806-8630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner