Individual provider Active NPI

Jorge Adalberto Aguilar, M.D.

  • General Practice Physician
  • Homestead, FL
National Provider Identifier
1265780514
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 65905 Issued in FL
Practice address
19000 SW 377TH. Street
Dade Correctional Institution
Homestead, FL 33034
Phone
(305) 242-2300
Fax
(305) 246-6376
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 65905 FL Primary

Addresses

Primary practice location

19000 SW 377TH. Street
Dade Correctional Institution
Homestead, FL 33034

Mailing address

19000 SW 377TH. Street
Dade Correctional Institution
Homestead, FL 33034
Phone (305) 242-2300

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 65905FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1265780514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 SW 377TH. STREET",
            "address_2": "DADE CORRECTIONAL INSTITUTION",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-242-2300",
            "fax_number": "305-246-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 SW 377TH. STREET",
            "address_2": "DADE CORRECTIONAL INSTITUTION",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-242-2300",
            "fax_number": "305-246-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "JORGE",
        "middle_name": "ADALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 65905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.