Provider Demographics
NPI:1841517083
Name:COSENTINO, AURORA VANEGAS
Entity type:Individual
Prefix:MRS
First Name:AURORA
Middle Name:VANEGAS
Last Name:COSENTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:DEL ROSARIO
Other - Last Name:VANEGAS-COSENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1613 HIGHWAY 22 W
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9444
Mailing Address - Country:US
Mailing Address - Phone:985-893-5644
Mailing Address - Fax:985-893-5694
Practice Address - Street 1:1613 HIGHWAY 22 W
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9444
Practice Address - Country:US
Practice Address - Phone:985-893-5644
Practice Address - Fax:985-893-5694
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies