Organization
CORAZON T AGUILAR, MD, PC
Active
Other names
Guardian Angels Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VANNEHE EICH (OPERATIONS)
(303) 369-1077
Entity
Organization
Contact information
Practice address
1550 S POTOMAC ST STE 230, AURORA, CO 80012-5455
(303) 369-1077
(303) 369-9785
Mailing address
1550 S POTOMAC ST STE 230, AURORA, CO 80012-5455
(303) 369-1077
(303) 369-8795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
302F00000X
Exclusive Provider Organization
19924
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90653734
—
CO
Enumeration date
04/02/2007
Last updated
06/11/2019
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