Individual provider Active NPI

Juan Pedro Aguilar, M.D.

  • Ophthalmology Physician
  • Coral Gables, FL
National Provider Identifier
1255350005
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME47476 Issued in FL
Practice address
747 Ponce de Leon Blvd
Suite 402
Coral Gables, FL 33134-2073
Phone
(305) 774-5700
Fax
(305) 774-5900
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 47476 FL
Ophthalmology Physician 207W00000X ME47476 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd
Suite 402
Coral Gables, FL 33134-2073

Mailing address

747 Ponce de Leon Blvd
Suite 402
Coral Gables, FL 33134-2073
Phone (305) 774-5700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47476FLMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1255350005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 402",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "305-774-5700",
            "fax_number": "305-774-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 402",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "305-774-5700",
            "fax_number": "305-774-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "JUAN",
        "middle_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "47476",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME47476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.