Organization Active NPI

Gonzalo a Aguilar MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1982975900
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GONZALO A AGUILAR MD PA
Practice address
580 W 8TH St
6001
Jacksonville, FL 32209-6533
Phone
(904) 244-9995
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Gonzalo Aguilar, MD
Title
President
Phone
(904) 421-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

580 W 8TH St
6001
Jacksonville, FL 32209-6533

Mailing address

580 W 8TH St
6001
Jacksonville, FL 32209-6533

National Provider Directory

National Provider Directory

Locations

3604 University Blvd S
Ste 101
Jacksonville, FL 32216
Phone (904) 419-6631

580 W 8th St
#6001
Jacksonville, FL 32209
Phone (904) 244-9995

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1982975900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "6001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "6001",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-244-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO A AGUILAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-421-2119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.