Mario R. Aguilar, M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

85-2 Issued in NM

Legal business name

MARIO R. AGUILAR, M.D.,P.C.

Practice address

1240 S Telshor Blvd
Suite C
Las Cruces, NM 88011-4731

Phone

(575) 522-1212

Fax

(575) 522-2898

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario R. Aguilar, M.D.NPI 1730216003

Title

President

Phone

(575) 522-1212

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• UPIN Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario R. Aguilar, M.D.

  • Specialist
  • Las Cruces, NM
  • NPI 1730216003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1811078579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S TELSHOR BLVD",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114731",
            "telephone_number": "575-522-1212",
            "fax_number": "575-522-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S TELSHOR BLVD",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114731",
            "telephone_number": "575-522-1212",
            "fax_number": "575-522-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO R. AGUILAR, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-522-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "85-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35154",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "000150",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "201000096",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.