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Individual

DR. SOLOMON NOGUERA

Active
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Individual

DR. SOLOMON NOGUERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R8H32
MO
208M00000X
Hospitalist Physician
Primary
R8H32
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080187496
RAILROAD MEDICARE #
MO
01
—
113990
BLUE CROSS BLUE SHIELD
MO
01
—
171019
HEALTHLINK PROVIDER #
MO
01
—
4503502
AETNA PROVIDER #
MO
Enumeration date
11/28/2005
Last updated
12/05/2018
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