Provider Demographics
NPI:1780572115
Name:AGUILAR, EDUARDO JOSE (LMT)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:JOSE
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:EDUARDO
Other - Middle Name:JOSE
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:6235 SW 132ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5084
Mailing Address - Country:US
Mailing Address - Phone:786-346-5588
Mailing Address - Fax:
Practice Address - Street 1:6235 SW 132ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5084
Practice Address - Country:US
Practice Address - Phone:786-346-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA107311225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist