Active NPI
Raul Alfonso Aguilar, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Lackland AFB, TX
National Provider Identifier
1164492120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- F-6380
- Practice address
- 2200 Bergquist Drive, Suite 1
Attn: Credentials Office
Lackland AFB, TX 78236-5300 - Phone
- (210) 292-6707
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | F-6380 | TX | Primary |
Addresses
Primary practice location
2200 Bergquist Drive, Suite 1
Attn: Credentials Office
Lackland AFB, TX 78236-5300
Mailing address
1320 S 7TH Ave
Edinburg, TX 78539-5524
Phone (956) 381-1347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120622000597 | TX | Order and Referring Only - Family Practice | 9335304484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-6380 | TX | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164492120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S 7TH AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395524",
"telephone_number": "956-381-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DRIVE, SUITE 1",
"address_2": "ATTN: CREDENTIALS OFFICE",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365300",
"telephone_number": "210-292-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "RAUL",
"middle_name": "ALFONSO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "F-6380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackland AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.