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Individual
CARLOS AGUERO-MEDINA
Active
Individual
CARLOS AGUERO-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036115945
IL
207Q00000X
Family Medicine Physician
54638-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115945
STATE LICENSE
IL
01
—
AGUERCAR
MERCYCARE INSURANCE
WI
Enumeration date
05/18/2006
Last updated
06/05/2025
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