MR. GUSTAVO A AGUILAR (NPI# 1972721256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972721256 |
| Entity Type | Individual |
| Full Name | MR. GUSTAVO A AGUILAR |
| Credential | PA-C |
| Practice Address |
Boulevard Professional Centre 10796 Pines Blvd Ste 103 Pembroke Pines FL 33026 |
| Mailing Address |
11376 Sw 2 Ct Pembroke Pines FL 33025 |
| Practice Telephone | 9544421402 |
| Practice Fax Number | 9544421418 |
| Mailing Telephone | 7862000574 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9103544 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BOULEVARD PROFESSIONAL CENTRE 10796 PINES BLVD STE 103 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953826 | Anne Marie Salsbury Company | Physician Assistant | 601 Nw 179th Ave Ste 102, Pembroke Pines, FL 33029-2819 | 2020-02-10 |
| 1598271322 | Kaitlyn Rowan | Physician Assistant | 2210 Nw 167th Ave Apt 9-206, Pembroke Pines, FL 33028-1877 | 2017-12-15 |
| 1518404482 | Oscar Miranda | Physician Assistant | 18456 Nw 24 Street, Pembroke Pines, FL 33029 | 2017-01-30 |
| 1760721617 | Katherine V Marshall | Physician Assistant | 680 North University Dr, Pembroke Pines, FL 33024 | 2013-02-12 |
| 1629386396 | Luis D'montique Soriano | Physician Assistant | 1220 Bel Aire Dr W, Pembroke Pines, FL 33027-2220 | 2010-09-15 |
| 1285771808 | Derrick Anthony Davis | Physician Assistant | 320 S Flamingo Rd, # 112, Pembroke Pines, FL 33027-1770 | 2007-01-31 |
| 1063473502 | Cynthia L Stimeck | Physician Assistant | 20021 Nw 3rd St, Pembroke Pines, FL 33029-3312 | 2006-03-31 |
| 1124096946 | Robert J Bertot | Physician Assistant | 703 N Flamingo Road, Pembroke Pines, FL 33028 | 2006-03-08 |
| 1851921738 | Katherin Rodriguez | Physician Assistant | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2020-01-20 |
| 1750832366 | Kaylin Michelle Dighton | Physician Assistant | 10794 Pines Blvd Ste 102, Pembroke Pines, FL 33026-3920 | 2016-10-18 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on MR. GUSTAVO A AGUILAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.