Organization Active NPI

Eduardo J. Agueros M.D. PA.

  • Primary Care Clinic/Center
  • Austin, TX
National Provider Identifier
1982905766
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K6791 Issued in TX
Legal business name
EDUARDO J. AGUEROS M.D. PA.
Practice address
2609 E 7TH St
Austin, TX 78702-3905
Phone
(512) 474-6836
Fax
(512) 474-1904
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Horacio Miguel Agueros, M.D.
Title
Dr/Physician
Phone
(512) 474-6836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K6791 TX Primary

Addresses

Primary practice location

2609 E 7TH St
Austin, TX 78702-3905

Mailing address

2609 E 7TH St
Austin, TX 78702-3905
Phone (512) 474-6836

Other identifiers 2

IdentifierTypeStateIssuer
00354GOtherTXMEDICARE
0301293-01MedicaidTX

Other names 1

  • Clinica Siete Doing business as

National Provider Directory

National Provider Directory

Locations

2609 E 7th St
Austin, TX 78702
Phone (512) 474-6836

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1982905766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 E 7TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023905",
            "telephone_number": "512-474-6836",
            "fax_number": "512-474-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 E 7TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023905",
            "telephone_number": "512-474-6836",
            "fax_number": "512-474-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO J. AGUEROS M.D. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "AGUEROS",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "DR/PHYSICIAN",
        "authorized_official_telephone_number": "512-474-6836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K6791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00354G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301293-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Siete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.