Individual
DR. PHILLIP BERNARD AGUILA
Active
Individual
DR. PHILLIP BERNARD AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23941
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23941
WV
207RP1001X
Pulmonary Disease Physician
200100115
NC
207RP1001X
Pulmonary Disease Physician
Primary
23941
WV
207RP1001X
Pulmonary Disease Physician
ME0089936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272072800
—
FL
05
—
3810017786
—
WV
01
—
428008181A
MEDICAID OF GEORGIA
GA
01
—
48037Y
BCBS OF FLORIDA
FL
01
—
7936250
AETNA
FL
01
—
P00966065
RAILROAD MEDICARE
WV
01
—
WV2369B987
PTAN
WV
Enumeration date
06/28/2006
Last updated
05/17/2024
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