Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | P8008 | TX |
N | 207VG0400X | Gynecologist | MA07593 | NJ |
NPI | 1144286014 |
---|---|
Provider Name | Dr. Vivian Del Carmen Aguilar |
First Address | Austin, TX 78705-1188 |
Second Address | Austin, TX 78705-1188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 09/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005274 | (05) | NJ |
00153013 | RAILROAD MEDICARE (01) | NJ |
328190901 | (05) | TX |
H36214 | (02) | NJ |