Provider Demographics
NPI:1982216396
Name:AGUILERA, ARMANDO OLIMPO (APRN)
Entity Type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:OLIMPO
Last Name:AGUILERA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9821 SW 12TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2909
Mailing Address - Country:US
Mailing Address - Phone:305-281-2250
Mailing Address - Fax:
Practice Address - Street 1:9821 SW 12TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2909
Practice Address - Country:US
Practice Address - Phone:305-281-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily