Provider Demographics
NPI:1801003025
Name:AGUILAR, MELITSA (MD)
Entity Type:Individual
Prefix:
First Name:MELITSA
Middle Name:
Last Name:AGUILAR
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 1:571 CAMINO FLAMENCO
Mailing Address - Street 2:SABANERA DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0000
Mailing Address - Country:US
Mailing Address - Phone:787-378-0074
Mailing Address - Fax:
Practice Address - Street 1:571 CAMINO FLAMENCO
Practice Address - Street 2:SABANERA DORADO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-3655
Practice Address - Country:US
Practice Address - Phone:787-378-0074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15544208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice