Active NPI
Manuela M Aguilar, PA-C
- Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110953
- Practice address
- 2655 State Road 580 Ste 202
Clearwater, FL 33761-3167 - Phone
- (727) 733-6111
- Fax
- (727) 733-6002
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9110953 | FL | Primary |
Addresses
Primary practice location
2655 State Road 580 Ste 202
Clearwater, FL 33761-3167
Mailing address
2655 State Road 580 Ste 202
Clearwater, FL 33761-3167
Phone (727) 733-6111
Other practice location 1
7011 Ridge Rd
Port Richey, FL 34668-6849
Phone (727) 733-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180406001476 | FL | Practitioner - Physician Assistant | 5799048658 | Reassigns benefits to 10 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12555 Biscayne Blvd C
North Miami, FL 33181-2522
Phone (305) 379-4442
16735 NW 67TH Ave
Suite 102
Hialeah, FL 33015-4201
Phone (305) 557-4556
1770 NE Miami Gardens Dr
N Miami Beach, FL 33179-5301
Phone (305) 949-4141
2310 Biscayne Blvd
Miami, FL 33137-4514
Phone (786) 579-1222
2571 S University Dr
Davie, FL 33324-5845
Phone (561) 420-8555
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
6605 S Dixie Hwy
Miami, FL 33143-7919
Phone (305) 663-5880
792 S Homestead Blvd
Homestead, FL 33030-7352
Phone (786) 432-2664
9971 W Flagler St
Miami, FL 33174-1810
Phone (305) 222-8335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110953 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| FL - I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| FB Health Solutions | Past | Accepting new patients | |
| Global Health Choices LLC | Past | Accepting new patients |
Locations
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Hallandale Beach, FL
- NPI 1528691961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104334689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 STATE ROAD 580 STE 202",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613167",
"telephone_number": "727-733-6111",
"fax_number": "727-733-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 STATE ROAD 580 STE 202",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613167",
"telephone_number": "727-733-6111",
"fax_number": "727-733-6002"
}
],
"practiceLocations": [
{
"address_1": "7011 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Port Richey",
"state": "FL",
"postal_code": "346686849",
"country_code": "US",
"telephone_number": "727-733-6111",
"fax_number": "727-733-6002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR",
"first_name": "MANUELA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.