Organization
MARIO R. AGUILAR, M.D.,P.C.
Active
Other names
UPIN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO R. AGUILAR M.D. (PRESIDENT)
(575) 522-1212
Entity
Organization
Contact information
Practice address
1240 S TELSHOR BLVD, SUITE C, LAS CRUCES, NM 88011-4731
(575) 522-1212
(575) 522-2898
Mailing address
1240 S TELSHOR BLVD, SUITE C, LAS CRUCES, NM 88011-4731
(575) 522-1212
(575) 522-2898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
85-2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000150
BLUECROSS BLUE SHIELD
NM
01
—
201000096
PRESBYTERIAN
NM
05
—
35154
—
NM
Enumeration date
10/18/2006
Last updated
06/04/2014
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