Matthew E Aguirre, BA

Individual provider Active NPI Rehabilitation Practitioner · Sparks, NV

NPI 1124311949 · NPPES record last updated May 26, 2011

Key facts

NPI
1124311949
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
895 Roberta Lane
Suite 101
Sparks, NV 89431-6810
Phone
(775) 331-6252
Fax
(775) 331-6250
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
No Child Left Behind Past Accepting new patients
No Child Left Behind Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

895 Roberta Lane
Suite 101
Sparks, NV 89431-6810

Mailing address

895 Roberta Lane
Suite 101
Sparks, NV 89436-6810
Phone (775) 331-6252

Other providers in Sparks, NV

All providers in Sparks, NV · Rehabilitation Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.