Gustavo A Aguilar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9103544 Issued in FL

Practice address

Boulevard Professional Centre 10796 Pines Blvd Ste 103
Pembroke Pines, FL 33026

Phone

(954) 442-1402

Fax

(954) 442-1418

NPI assigned

Apr 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FB Health Solutions

  dba American Family Care

  • Urgent Care Clinic/Center
  • Hallandale Beach, FL
  • NPI 1528691961
  NPD (past)
• Fidel Hernando Henriquez MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
  • NPI 1851454839
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972721256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11376 SW 2 CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "786-200-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOULEVARD PROFESSIONAL CENTRE 10796 PINES BLVD STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-442-1402",
            "fax_number": "954-442-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alian Aguila, MD
• Yoleynis Aguilar Aguilar, RBT
• Christopher Luis Aguilar
• Dyanna Aguilar
• Gina Rebeca Aguilar, HIS
• Hereen Aguilar, APRN
• Lina M Aguilar, D.D.S
• Melanie Aguilar
• Wendy Aguilar
• Estefani Aguiluz

• Medical Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.