Individual
DR. MARIO R. AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 S TELSHOR BLVD, SUITE C, LAS CRUCES, NM 88011-4731
(505) 522-1212
(505) 522-2898
Mailing address
1240 S TELSHOR BLVD, SUITE C, LAS CRUCES, NM 88011-4731
(505) 522-1212
(505) 522-2898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
85-2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35154
—
NM
Enumeration date
02/27/2007
Last updated
07/09/2007
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