Lara Aguiar, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI 1972305878 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1972305878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1300 N 12TH St Ste 605
Phoenix, AZ 85006-2850 - Phone
- (602) 839-4567
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250701004485 | AZ | Order and Referring Only - Family Practice |
0749793859 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1300 N 12TH St Ste 605
Phoenix, AZ 85006-2850
Mailing address
PO Box 5537
Peoria, AZ 85385-5537
Other providers in Phoenix, AZ
- Shivi Agrawal
- Agricola Health Inc
- Neera Agrwal
- Yesenia Aguayo Davalos
- Ariana Aguiar
- Ana Aguila
- Iris Aguila
- Daniela Mercedes Aguilar-Caballero
- Carrie Noelle Aguilar
- Catalina Aguilar
All providers in Phoenix, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.