Active NPI
Guillermo Aquino, R.T.(T)
- Radiation Therapy Radiologic Technologist
- Prescott Valley, AZ
National Provider Identifier
1932531829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- License
- CTT-1099
- Practice address
- 8115 E Gale Rd
Prescott Valley, AZ 86314-9406 - Phone
- (928) 772-0524
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CTT-1099 | AZ | MD | Radiation Therapy Radiologic Technologist |
| RHT00101374 | CA | MD | Radiation Therapy Radiologic Technologist |
| 8867519 | OH | MD | Radiation Therapy Radiologic Technologist |
| 206215 | OR | MD | Radiation Therapy Radiologic Technologist |
| RT 00008408 | WA | MD | Radiation 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
- Angels on Duty
- Andrea Annibale, PSYD
- Theresa A Antone, OPTICIAN
- Denise N Antonio
- Klaus P Appel, DO
- Jalili Arabi, PMHNP
- Phyllis Arellanes, LMT
- Arizona Behavioral Counseling and Education Inc
- Arizona Center for Couples and Families, LLC (Prescott Integrated Counseling and Wellness)
- Arizona CVS Stores, L.L.C. (CVS Pharmacy #05983)
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.