Sergio Alcuaz Aguilar, MD
Individual provider Active NPI Pediatrics Physician · Jamaica Estates, NY
NPI 1861553935 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1861553935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 121316 (NY)
- Practice address
- 177 06 Wexford Terrace
Jamaica Estates, NY 11432 - Phone
- (718) 291-9384
- Fax
- (718) 558-9020
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121316 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manuel C Bulauitan MD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 121316 | NY | Yes |
Addresses
Primary practice location
177 06 Wexford Terrace
Jamaica Estates, NY 11432
Mailing address
17521 88TH Ave # Olp1
Jamaica, NY 11432-5758
Phone (718) 291-9384
Other providers in Jamaica Estates, NY
- Tanya Lee Acquista
- Advanced Center for Psychotherapy
- Advanced Center for Psychotherapy
- Madeline Bush
- Robyn Cannariato
- Department of Education
- Digestive Diseases & Nutrition LLC
- Beverly Feigelman
All providers in Jamaica Estates, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.