Basic Information
Provider Information
NPI: 1093997363
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AGUILAR LOPEZ
FirstName: CESAR
MiddleName: AUGUSTO
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 630 PLANTATION ST FL ST12
Address2:  
City: WORCESTER
State: MA
PostalCode: 016052038
CountryCode: US
TelephoneNumber: 5083685532
FaxNumber: 5084538062
Practice Location
Address1: 2400 CANAL ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701196535
CountryCode: US
TelephoneNumber: 8009358387
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/28/2007
LastUpdateDate: 07/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X260218MAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000X48824CTN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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