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Individual
ROBERTO AGUERO BLAU
Active
Individual
ROBERTO AGUERO BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2019-1096
NM
207Q00000X
Family Medicine Physician
RS2015-0330
NM
208D00000X
General Practice Physician
MD2019-1096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2019-1096
NM MEDICAL BOARD
NM
Enumeration date
04/07/2015
Last updated
08/11/2020
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