Individual provider Active NPI

Guillermo Aquino, R.T.(T)

  • Radiation Therapy Radiologic Technologist
  • Prescott Valley, AZ
National Provider Identifier
1932531829
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
License
CTT-1099 Issued in AZ
Practice address
8115 E Gale Rd
Prescott Valley, AZ 86314-9406
Phone
(928) 772-0524
NPI assigned
Aug 2, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Therapy Radiologic Technologist 2471R0002X CTT-1099 AZ Primary
Radiation Therapy Radiologic Technologist 2471R0002X RHT00101374 CA
Radiation Therapy Radiologic Technologist 2471R0002X 8867519 OH
Radiation Therapy Radiologic Technologist 2471R0002X 206215 OR
Radiation Therapy Radiologic Technologist 2471R0002X RT 00008408 WA

Addresses

Primary practice location

8115 E Gale Rd
Prescott Valley, AZ 86314-9406

Mailing address

8115 E Gale Rd
Prescott Valley, AZ 86314-9406
Phone (928) 772-0524

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

State licenses

LicenseStateTypeSpecialty
CTT-1099AZMDRadiation Therapy Radiologic Technologist
RHT00101374CAMDRadiation Therapy Radiologic Technologist
8867519OHMDRadiation Therapy Radiologic Technologist
206215ORMDRadiation Therapy Radiologic Technologist
RT 00008408WAMDRadiation Therapy Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1932531829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 E GALE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149406",
            "telephone_number": "928-772-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 E GALE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149406",
            "telephone_number": "928-772-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "GUILLERMO",
        "credential": "R.T.(T)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "AZ",
            "license": "CTT-1099",
            "primary": true
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "CA",
            "license": "RHT00101374",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OH",
            "license": "8867519",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OR",
            "license": "206215",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "WA",
            "license": "RT 00008408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.