Provider Demographics
NPI:1912937012
Name:AGUIAR, LUIS ORLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ORLANDO
Last Name:AGUIAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 W 76TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1839
Mailing Address - Country:US
Mailing Address - Phone:305-821-9791
Mailing Address - Fax:305-827-6783
Practice Address - Street 1:2150 W 76TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1839
Practice Address - Country:US
Practice Address - Phone:305-821-9791
Practice Address - Fax:305-827-6783
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96516BOtherMEDICARE NUMBER