Aguilar, Mario R.

Aguilar, Mario R. is an individual health care provider with primary practice located at 1240 S Telshor Blvd Suite C, Las Cruces NM 88011-4731. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Aguilar, Mario R. can be contacted via phone (505) 522-1212.

Contact Information

Primary practice address
1240 S Telshor Blvd Suite C Las Cruces NM 88011-4731
Fax: (505) 522-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 85-2 New Mexico

Profile Details

NPI number 1730216003
LBN Legal business name Aguilar, Mario R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730216003 NPPES
New Mexico MEDICAID 35154

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