Provider Demographics
NPI:1952345225
Name:AQUILER, ROSEMARY MAGISTRADO (MD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:MAGISTRADO
Last Name:AQUILER
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 1:18829 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3262
Mailing Address - Country:US
Mailing Address - Phone:248-426-0110
Mailing Address - Fax:248-426-0220
Practice Address - Street 1:18829 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3262
Practice Address - Country:US
Practice Address - Phone:248-426-0110
Practice Address - Fax:248-426-0220
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067645207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4623276Medicaid
MI7061OtherTOTAL HEALTH CARE
MI900042060OtherPRIORITY HEALTH
MI110236121OtherPALMETTO GBA RAILROAD MR
MI130515OtherTRINITY HEALTH PLANS
MI101177OtherGREAT LAKES HEALTH PLAN
MI16688OtherMCARE
MI1108221851OtherBCBSM
MI1108221851OtherBCBSM
MI7061OtherTOTAL HEALTH CARE
MIH05944Medicare UPIN
MIH05944Medicare UPIN